Patrick Stone Chapman, ED.D., L.P.C.
Individual provider Active NPI Counselor · Ripley, MS
NPI 1619201100 · NPPES record last updated Sep 30, 2009
Key facts
- NPI
- 1619201100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 1012 (MS)
- Practice address
- 108 E Jefferson St
Ripley, MS 38663-2016 - Phone
- (662) 587-9772
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1012 | MS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1012 | MS | Yes |
Addresses
Primary practice location
108 E Jefferson St
Ripley, MS 38663-2016
Mailing address
1240 County Road 703
Blue Mountain, MS 38610-9669
Phone (662) 587-9772
Other providers in Ripley, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.