Individual
JULIE CHAPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, HSPP
Contact information
Practice address
501 S MADISON ST STE 105, BLOOMINGTON, IN 47403-2452
(812) 322-7074
Mailing address
PO BOX 668, BLOOMINGTON, IN 47402-0668
(812) 322-7074
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
20041842A
IN
103TC0700X
Clinical Psychologist
Primary
20041842A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11456645
CAQH PIN
IN
01
—
20041842
PROFESSIONAL LICENSE
IN
05
—
200459050A
—
IN
Enumeration date
07/21/2006
Last updated
04/03/2026
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