Healthcare Provider Details

I. General information

NPI: 1972359164
Provider Name (Legal Business Name): AINSLEY CHAPMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 NW 7TH ST STE 2&4
BENTONVILLE AR
72712-4565
US

IV. Provider business mailing address

560 MAGNOLIA LN
CENTERTON AR
72719-6074
US

V. Phone/Fax

Practice location:
  • Phone: 479-250-9838
  • Fax:
Mailing address:
  • Phone: 318-348-9971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: