Individual
MRS. CHARLOTTE ELAINE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CCC.SLP
Contact information
Practice address
620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
(432) 332-8244
(432) 580-7428
Mailing address
4061 CANDY LN, ODESSA, TX 79762-7127
(432) 550-0591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100356
STATE LICENSE NUMBER
TX
01
—
129204
SUPERIOR PROVIDER NUMBER
TX
01
—
8T0118
BCBS PROVIDER NUMBER
TX
Enumeration date
03/12/2007
Last updated
07/08/2007
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