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General NPI Number Information
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NPI Number | 1841019908
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Entity Type | Organization
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Legal Business Name | CHAPLA ASSESSMENT & THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 2741 INDIAN SCHOOL RD NE STE 104
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2653
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Country | US
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Telephone | 505-532-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 2741 INDIAN SCHOOL RD NE STE 104
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2653
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Country | US
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Telephone | 505-532-3008
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Fax |
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Authorized Official
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Title or Position | CEO AND OWNER
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Name | DR. BROOKE ALISSA CHAPLA
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Credential | PHD
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Telephone | 505-532-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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