Provider Demographics
NPI:1720176282
Name:CAPUTO, RAGAN SMITH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RAGAN
Middle Name:SMITH
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 GARLAND DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3002
Mailing Address - Country:US
Mailing Address - Phone:205-822-6273
Mailing Address - Fax:
Practice Address - Street 1:2304 GARLAND DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-3002
Practice Address - Country:US
Practice Address - Phone:205-822-6273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-01141OtherBLUE CROSS PRIM PROV. #
AL515-31614OtherBLUE CROSS SEC. PROV. #