Provider Demographics
NPI:1801934278
Name:CAPOZZI, LAUREN GASKILL (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:GASKILL
Last Name:CAPOZZI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-1301
Mailing Address - Country:US
Mailing Address - Phone:615-477-9735
Mailing Address - Fax:
Practice Address - Street 1:15 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-1301
Practice Address - Country:US
Practice Address - Phone:615-477-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000001550106H00000X
TN000000904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist