Provider Demographics
NPI:1497081764
Name:CHAPMAN, NICOLE A (MA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:A
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:A
Other - Last Name:PETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2257 W END AVE
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-1825
Mailing Address - Country:US
Mailing Address - Phone:484-662-3223
Mailing Address - Fax:570-581-8089
Practice Address - Street 1:2257 W END AVE
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-1825
Practice Address - Country:US
Practice Address - Phone:484-662-3223
Practice Address - Fax:570-581-8089
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional