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NPI Code Detail

MEDICARE: SARA DIANE CHAPPELL IMFT

MEDICARE: SARA DIANE CHAPPELL IMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist51837CA

General Provider Information

NPI Number : 1073682738
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA DIANE CHAPPELL IMFT
Provider Business Mailing Address
First Line : 15317 RAYEN ST
Second Line :
City : NORTH HILLS
State : CA
Zip : 91343-5117
Country : US
Telephone Number : 818-941-2056
Fax Number : 818-893-4509
Provider Business Practice Location Address
First Line : 15317 RAYEN ST
Second Line :
City : NORTH HILLS
State : CA
Zip : 91343-5117
Country : US
Telephone Number : 818-941-2056
Fax Number : 818-893-4509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 09/16/2009

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Directions to “ SARA DIANE CHAPPELL IMFT” Practice Location

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