Provider Demographics
NPI:1023162625
Name:CHAPMAN, MARK ALLYN (MA)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:ALLYN
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:39 MAYBERRY LANE
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050
Mailing Address - Country:US
Mailing Address - Phone:717-514-4228
Mailing Address - Fax:717-796-9622
Practice Address - Street 1:3564 HEINDEL RD
Practice Address - Street 2:YORK COUNTY YOUTH DEVELOPMENT CENTER
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402
Practice Address - Country:US
Practice Address - Phone:717-840-7570
Practice Address - Fax:717-840-7281
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS007082L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist