Provider Demographics
NPI:1316526031
Name:CHATTMAN, NEELA TENNILLE
Entity type:Individual
Prefix:
First Name:NEELA
Middle Name:TENNILLE
Last Name:CHATTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23715 MERCANTILE RD STE A203
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5918
Mailing Address - Country:US
Mailing Address - Phone:216-292-2880
Mailing Address - Fax:
Practice Address - Street 1:23715 MERCANTILE RD STE A203
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5918
Practice Address - Country:US
Practice Address - Phone:216-292-2880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical