Provider Demographics
NPI:1346937315
Name:CARAPEZZA, RICHARD SALVATORE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SALVATORE
Last Name:CARAPEZZA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 LEGACY LAKES WAY
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-5123
Mailing Address - Country:US
Mailing Address - Phone:801-638-2448
Mailing Address - Fax:
Practice Address - Street 1:SCHOFIELD BARRACKS
Practice Address - Street 2:
Practice Address - City:SCOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96857
Practice Address - Country:US
Practice Address - Phone:801-638-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007738103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical