Doctor Name: | BRIAN C CHAPIN |
NPI Number: | 1558668426 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PLPC |
License Number: | 201004170 |
Business Practice Address: | 12813 Flushing Meadows Drive Suite 140 Des Peres, MO - 63131 |
Business Phone Number: | 6364660329 |
Business Fax Number: | 5733358610 |
Mailing Address: | 12813 Flushing Meadows Drive, Suite 140 DES PERES |
State: | MO |
Postal Code: | 63131 |
Phone Number: | 6364660329 |
Fax Number: | 5733358610 |
NPI Enumeration Date: | 02/11/2011 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 201004170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |