Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 13475 | MD |
NPI | 1992979025 |
---|---|
Provider Name | Heather N Chapman |
First Address | Baltimore, MD 21228-1411 |
Second Address | Baltimore, MD 21228-1411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 18/04/2008 |