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Organization

CHAPLA ASSESSMENT & THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BROOKE ALISSA CHAPLA PHD (CEO AND OWNER)
(505) 532-3008
Entity
Organization

Contact information

Practice address
2741 INDIAN SCHOOL RD NE STE 104, ALBUQUERQUE, NM 87106-2653
(505) 532-3008
Mailing address
2741 INDIAN SCHOOL RD NE STE 104, ALBUQUERQUE, NM 87106-2653
(505) 532-3008

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103TC2200X
Clinical Child & Adolescent Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY1635
STATE LICENSURE
NM
Enumeration date
10/07/2024
Last updated
10/07/2024
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