MEDICARE: DONNA MARIE CHAPMAN MA, LMFT

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1457637068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA MARIE CHAPMAN MA, LMFT

Provider Business Mailing Address
First Line	:	5694 MISSION CENTER RD STE 602
Second Line	:	UNIT 135
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4324
Country	:	US
Telephone Number	:	619-908-9908
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 CAMINO DEL RIO S STE 107
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3718
Country	:	US
Telephone Number	:	619-908-9908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	02/11/2021

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