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Individual

HENRY CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
Mailing address
2041 JONES RD, ANDOVER, NY 14806-9724
(607) 776-6577

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00013687
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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