Provider Demographics
NPI:1831405877
Name:CHAPEL, SUSAN PAMELA (SLP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:PAMELA
Last Name:CHAPEL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9322 JOHNSON POINT RD NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-9338
Mailing Address - Country:US
Mailing Address - Phone:360-292-3387
Mailing Address - Fax:
Practice Address - Street 1:9322 JOHNSON POINT RD NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-9338
Practice Address - Country:US
Practice Address - Phone:360-292-3387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60090865235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist