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NPI Code Detail

MEDICARE: MICHAEL CHAPMAN MA, LLP

MEDICARE: MICHAEL CHAPMAN MA, LLP
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
1101Y00000XCounselor6401008776MI
2103T00000XPsychologist6301012496MI

General Provider Information

NPI Number : 1912922410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CHAPMAN MA, LLP
Provider Business Mailing Address
First Line : 9950 COLWELL AVE
Second Line :
City : ALLEN PARK
State : MI
Zip : 48101-1315
Country : US
Telephone Number : 727-729-0742
Fax Number :
Provider Business Practice Location Address
First Line : 19401 NORTHLINE RD
Second Line :
City : SOUTHGATE
State : MI
Zip : 48195-2277
Country : US
Telephone Number : 734-785-7718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 02/07/2014

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