| Doctor Name: | DR. KATHLEEN JEAN CAPRONI |
| NPI Number: | 1245390103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 012254 |
| Business Practice Address: | 8 Sun Creek Ln Suite 1 Stone Ridge, NY - 124845639 |
| Business Phone Number: | 9142609818 |
| Business Fax Number: | 8452560432 |
| Mailing Address: | 8 Sun Creek Ln, Suite 1 STONE RIDGE |
| State: | NY |
| Postal Code: | 124845639 |
| Phone Number: | 9142609818 |
| Fax Number: | 8452560432 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 012254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |