| Chappell Psychological Services | |
|
5800 Evergreen Dr Ste B Little Rock AR 72205-1757 | |
| (501) 596-3396 | |
| Not Available |
| Full Name | Chappell Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 5800 Evergreen Dr Ste B, Little Rock, Arkansas |
| Authorized Official Name and Position | Lisa Danielle Chappell (PSYCHOLOGIST) |
| Authorized Official Contact | 5014120281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chappell Psychological Services 909 Gregory St Jacksonville AR 72076-3015 Ph: (501) 412-0281 | Chappell Psychological Services 5800 Evergreen Dr Ste B Little Rock AR 72205-1757 Ph: (501) 596-3396 |
| NPI Number | 1497343230 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Medicare PECOS PAC ID | 9537577051 |
|---|---|
| Medicare Enrollment ID | O20210422002091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497343230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Lisa D Chappell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831149004 PECOS PAC ID: 9638193774 Enrollment ID: I20060126001026 |
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