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Individual

LISA D CHAPPELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 SAINT VINCENT CIR STE 260, LITTLE ROCK, AR 72205-5421
(501) 552-4755
Mailing address
1 SAINT VINCENT CIR STE 260, LITTLE ROCK, AR 72205-5421
(501) 552-4755
(501) 552-4325

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07-08P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5Y657
BLUECROSS BLUESHIELD
AR
Enumeration date
05/11/2006
Last updated
08/29/2019
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