Provider Demographics
NPI:1457463192
Name:CAPECCHI, ELIZABETH MULLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MULLER
Last Name:CAPECCHI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:DEIRDRE
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:ONE NORTHGATE PARK
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415
Mailing Address - Country:US
Mailing Address - Phone:423-870-5647
Mailing Address - Fax:423-870-5545
Practice Address - Street 1:ONE NORTHGATE PARK
Practice Address - Street 2:SUITE 201
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415
Practice Address - Country:US
Practice Address - Phone:423-870-5647
Practice Address - Fax:423-870-5545
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2586103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist