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Individual

DR. CLARA FELLOWS CHAPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 346-7879
(860) 344-1301
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 346-7879
(860) 344-1301

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000490
CT
103TC2200X
Clinical Child & Adolescent Psychologist
000490
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060000490CT05
BLUE CROSS/BLUE SHIELD
CT
01
080002
MHN
CT
01
C013962
CHAMPUS
CT
01
MIS009
OXFORD
CT
Enumeration date
10/27/2006
Last updated
09/11/2025
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