Provider Demographics
NPI:1700578713
Name:AMY CAPETA SPEECH LANGUAGE PATHOLOGIST LLC
Entity Type:Organization
Organization Name:AMY CAPETA SPEECH LANGUAGE PATHOLOGIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-607-3745
Mailing Address - Street 1:3443 PARFOURE BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7804
Mailing Address - Country:US
Mailing Address - Phone:330-607-3745
Mailing Address - Fax:
Practice Address - Street 1:3443 PARFOURE BLVD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7804
Practice Address - Country:US
Practice Address - Phone:330-607-3745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech