Individual
JESSICA CHAPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7068
Mailing address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7068
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2887
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015802
—
WI
Enumeration date
09/06/2007
Last updated
11/30/2021
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