Provider Demographics
NPI:1689080137
Name:CAPORALE, LORI (PHD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:CAPORALE
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 1:715 ALMOND ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-3121
Mailing Address - Country:US
Mailing Address - Phone:352-460-7028
Mailing Address - Fax:
Practice Address - Street 1:715 ALMOND ST
Practice Address - Street 2:SUITE D
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3121
Practice Address - Country:US
Practice Address - Phone:352-460-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-05
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral