| Doctor Name: | VIRGINIA WATKINS CAPEN |
| NPI Number: | 1740550516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 111247 |
| Business Practice Address: | 204 Seminary Warsaw, MO - 65355 |
| Business Phone Number: | 5732477728 |
| Business Fax Number: | 6604386943 |
| Mailing Address: | 620 N Jefferson St, SAINT JAMES |
| State: | MO |
| Postal Code: | 655591926 |
| Phone Number: | 5732653271 |
| Fax Number: | 5732655771 |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 01/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 111247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |