Provider Demographics
NPI:1447665328
Name:CHAPPELL, EMILY ANNE (MS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-2237
Mailing Address - Country:US
Mailing Address - Phone:775-223-2127
Mailing Address - Fax:
Practice Address - Street 1:499 W PLUMB LN STE 201
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3783
Practice Address - Country:US
Practice Address - Phone:775-223-2127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVL-307764174N00000X
NVSP-1713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN