Provider Demographics
NPI:1003968348
Name:CAPELLI, CATHERINE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:CAPELLI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:CAPELLI
Other - Last Name:VIERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:745 S CHURCH ST
Mailing Address - Street 2:SUITE 701
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4984
Mailing Address - Country:US
Mailing Address - Phone:615-217-4432
Mailing Address - Fax:615-217-7411
Practice Address - Street 1:745 S CHURCH ST
Practice Address - Street 2:SUITE 701
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4984
Practice Address - Country:US
Practice Address - Phone:615-217-4432
Practice Address - Fax:615-217-7411
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000001573103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN021075OtherVALUE OPTIONS PROV. NUMBR
TN0131139OtherBCBS PROVIDER NUMBER