Provider Demographics
NPI:1427090364
Name:CHAPMAN, CATHY ANN (MS, CCC)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:ANN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GUILFORD CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2871
Mailing Address - Country:US
Mailing Address - Phone:856-985-5012
Mailing Address - Fax:
Practice Address - Street 1:3 S HADDON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1882
Practice Address - Country:US
Practice Address - Phone:856-795-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYS000136235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0533529000OtherAMERIHEALTH
NJ698543OtherHORIZON BC/BS
NJ0034163OtherAETNA