Provider Demographics
NPI:1568665875
Name:CAPOBIANCO, MARTHA LEMEN (MA, CCC, SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:LEMEN
Last Name:CAPOBIANCO
Suffix:
Gender:F
Credentials:MA, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:88 LARKSPUR DR
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623-3202
Mailing Address - Country:US
Mailing Address - Phone:970-928-3224
Mailing Address - Fax:970-928-3228
Practice Address - Street 1:1200 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:CO
Practice Address - Zip Code:81623-1564
Practice Address - Country:US
Practice Address - Phone:970-928-3224
Practice Address - Fax:970-928-3228
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist