Doctor Name: | MRS. JULIA CAPIZZI |
NPI Number: | 1801274014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.G.P.C. |
License Number: | LGP6075 |
Business Practice Address: | 30537 Potomac Way Suite 101 Charlotte Hall, MD - 206223179 |
Business Phone Number: | 2404661816 |
Business Fax Number: | 3018842525 |
Mailing Address: | 30537 Potomac Way, Suite 101 CHARLOTTE HALL |
State: | MD |
Postal Code: | 206223179 |
Phone Number: | 2404661816 |
Fax Number: | 3018842525 |
NPI Enumeration Date: | 05/08/2015 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LGP6075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |