Provider Demographics
NPI:1922215029
Name:CAPERS, NANCY J (MFT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:J
Last Name:CAPERS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:LOCKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT 341057
Mailing Address - Street 1:1110 TORREY PINES ROAD #L
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-6004
Mailing Address - Country:US
Mailing Address - Phone:858-232-9697
Mailing Address - Fax:
Practice Address - Street 1:1110 TORREY PINES ROAD #L
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-6004
Practice Address - Country:US
Practice Address - Phone:858-232-9697
Practice Address - Fax:858-459-0246
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 41057106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist