| Doctor Name: | CARLY CHAPMAN |
| NPI Number: | 1861800500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2930 146th St W Suite 114 Rosemount, MN - 550683189 |
| Business Phone Number: | 9524334600 |
| Business Fax Number: | |
| Mailing Address: | 1800 Lasalle Ave Unit 106, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554033612 |
| Phone Number: | 2187916739 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2014 |
| NPI Last Update Date: | 07/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |