Provider Demographics
NPI:1770849002
Name:CAPERS, WAYNE JR
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:
Last Name:CAPERS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 BISHOP ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-3306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:77 BISHOP ST
Practice Address - Street 2:79
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704
Practice Address - Country:US
Practice Address - Phone:203-218-7285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor