Provider Demographics
NPI:1023537339
Name:CAPUZZI, GRACE RENEE
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:RENEE
Last Name:CAPUZZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 LANCASTER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2525
Mailing Address - Country:US
Mailing Address - Phone:610-883-7299
Mailing Address - Fax:
Practice Address - Street 1:614 LANCASTER AVE FL 2
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2525
Practice Address - Country:US
Practice Address - Phone:610-883-7299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-18
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical