Provider Demographics
NPI:1447745872
Name:DIVITA-CAPPELLO, RACHAEL CARMELA (MBA, MSED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:CARMELA
Last Name:DIVITA-CAPPELLO
Suffix:
Gender:F
Credentials:MBA, MSED, CCC-SLP
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:CARMELA
Other - Last Name:DIVITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBA, MSED, CCC-SLP
Mailing Address - Street 1:6167 W QUAKER ST
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2640
Mailing Address - Country:US
Mailing Address - Phone:716-662-4800
Mailing Address - Fax:716-662-5700
Practice Address - Street 1:6167 W QUAKER ST
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2640
Practice Address - Country:US
Practice Address - Phone:716-662-4800
Practice Address - Fax:716-662-5700
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist