| Doctor Name: | MRS. KATHRYN DEMARINIS CAPOZZOLI |
| NPI Number: | 1164638086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC, PMH |
| License Number: | R055419 |
| Business Practice Address: | 4 Riggs Ave Severna Park, MD - 21146 |
| Business Phone Number: | 4102242792 |
| Business Fax Number: | 4102639593 |
| Mailing Address: | 201 Severn River Rd, SEVERNA PARK |
| State: | MD |
| Postal Code: | 211464637 |
| Phone Number: | 4106478765 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | R055419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |