Provider Demographics
NPI:1598060881
Name:CAPUANO RUBIN, VERONICA (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:CAPUANO RUBIN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2843 S COUNTY TRL STE C11
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1728
Mailing Address - Country:US
Mailing Address - Phone:401-649-5897
Mailing Address - Fax:
Practice Address - Street 1:2843 S COUNTY TRL STE C11
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1728
Practice Address - Country:US
Practice Address - Phone:401-649-5897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00490101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health