| Doctor Name: | DR. KRISTEN ANN CAPRARA |
| NPI Number: | 1043502503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PS016908 |
| Business Practice Address: | 93 Old York Rd Jenkintown, PA - 190463925 |
| Business Phone Number: | 2158853337 |
| Business Fax Number: | 2158853090 |
| Mailing Address: | 1208 S 13th St, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191474528 |
| Phone Number: | 2672269505 |
| Fax Number: | 2156279042 |
| NPI Enumeration Date: | 05/03/2011 |
| NPI Last Update Date: | 05/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PS016908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |