Provider Demographics
NPI:1386175768
Name:CHAPMAN, JOAN (MA LMFT)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 MATHEWS AVE
Mailing Address - Street 2:UNIT 5
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-3004
Mailing Address - Country:US
Mailing Address - Phone:310-465-6138
Mailing Address - Fax:
Practice Address - Street 1:2512 ARTESIA BLVD
Practice Address - Street 2:SUITE 305 D
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3264
Practice Address - Country:US
Practice Address - Phone:310-465-6138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist