MEDICARE: MRS. ANNE-MARIE CHAPMAN MS, 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
1	235Z00000X	Speech-Language Pathologist	LL60842537	WA

General Provider Information

NPI Number	:	1760961601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE-MARIE CHAPMAN MS, CCC-SLP

Provider Business Mailing Address
First Line	:	2236 CALLANAN ST
Second Line	:
City	:	SHELTON
State	:	WA
Zip	:	98584-1904
Country	:	US
Telephone Number	:	973-647-7344
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 E SPENCER LAKE RD
Second Line	:
City	:	SHELTON
State	:	WA
Zip	:	98584-7307
Country	:	US
Telephone Number	:	360-426-9115
Fax Number	:

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

Provider Enumeration Date	:	08/10/2018
Last Update Date	:	02/04/2019

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