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NPI Code Detail

MEDICARE: MRS. BRENDA MARIE CHAPPELL MA-CCC/SLP

MEDICARE: MRS. BRENDA MARIE CHAPPELL MA-CCC/SLP
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
1235Z00000XSpeech-Language Pathologist7101006669MI
2235Z00000XSpeech-Language Pathologist
3235Z00000XSpeech-Language PathologistSI60030945WA

General Provider Information

NPI Number : 1093952574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA MARIE CHAPPELL MA-CCC/SLP
Provider Business Mailing Address
First Line : 126 S CHURCH ST
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-1606
Country : US
Telephone Number : 425-686-4036
Fax Number : 206-826-1197
Provider Business Practice Location Address
First Line : 210 TOWN CENTER DR
Second Line :
City : TROY
State : MI
Zip : 48084-1774
Country : US
Telephone Number : 866-812-8896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2009
Last Update Date : 08/18/2023

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Directions to “ MRS. BRENDA MARIE CHAPPELL MA-CCC/SLP” Practice Location

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