Provider Demographics
NPI:1497295034
Name:CAPECE, DEEANN (BA MS)
Entity Type:Individual
Prefix:
First Name:DEEANN
Middle Name:
Last Name:CAPECE
Suffix:
Gender:F
Credentials:BA MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 RIVERSIDE DR APT 102
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-4731
Mailing Address - Country:US
Mailing Address - Phone:786-365-9163
Mailing Address - Fax:
Practice Address - Street 1:1540 RIVERSIDE DR APT 102
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-4731
Practice Address - Country:US
Practice Address - Phone:786-365-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health