Provider Demographics
NPI:1942699244
Name:CAPECELATRO, MARIA ROSE (BS)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:ROSE
Last Name:CAPECELATRO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 MADISON ST
Mailing Address - Street 2:APT 7
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2636
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4441 S XERIC WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2529
Practice Address - Country:US
Practice Address - Phone:720-341-2324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-10
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst