Provider Demographics
NPI:1457799967
Name:CHAPMAN, STEPHANIE GRACE (PHD)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:GRACE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N SAM HOUSTON PKWY W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-4338
Mailing Address - Country:US
Mailing Address - Phone:832-828-1538
Mailing Address - Fax:832-825-0264
Practice Address - Street 1:700 N SAM HOUSTON PKWY W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-4338
Practice Address - Country:US
Practice Address - Phone:832-828-1538
Practice Address - Fax:832-825-0264
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36460103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist