| Doctor Name: | MARIE ELIZABETH CAPOBIANCO |
| NPI Number: | 1013011691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC, LCDP, CCJP |
| License Number: | LCDP00302 |
| Business Practice Address: | 300 Centerville Rd. And The Kent Center Suite 301 Warwick, RI - 02886 |
| Business Phone Number: | 4017325656 |
| Business Fax Number: | |
| Mailing Address: | 300 Centerville Rd. And The Kent Center, Suite 301 WARWICK |
| State: | RI |
| Postal Code: | 02886 |
| Phone Number: | 4017325656 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCDP00302 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |