| Doctor Name: | DR. LARRY DAVID CAPP |
| NPI Number: | 1033486535 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PY 2096 |
| Business Practice Address: | 1380 Ne Miami Gardens Dr Suite 260 North Miami Beach, FL - 331794707 |
| Business Phone Number: | 3059452675 |
| Business Fax Number: | 3059452680 |
| Mailing Address: | 1380 Ne Miami Gardens Dr, Suite 260 NORTH MIAMI BEACH |
| State: | FL |
| Postal Code: | 331794707 |
| Phone Number: | 3059452675 |
| Fax Number: | 3059452680 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PY 2096 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |