Provider Demographics
NPI:1598941957
Name:CAPILOUTO, GILSON J (PHD)
Entity Type:Individual
Prefix:DR
First Name:GILSON
Middle Name:J
Last Name:CAPILOUTO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 WALLER AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2915
Mailing Address - Country:US
Mailing Address - Phone:859-323-6469
Mailing Address - Fax:859-225-7155
Practice Address - Street 1:333 WALLER AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2915
Practice Address - Country:US
Practice Address - Phone:859-323-6469
Practice Address - Fax:859-225-7155
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2697235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist