Matthew Anthony Capezzuto in Fairview Park - Clinical
Matthew Anthony Capezzuto - NPI 1609972017
Matthew Anthony Capezzuto is a Clinical in Fairview Park, Ohio. Matthew Anthony Capezzuto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matthew Anthony Capezzuto is 1609972017. The last update date is 2017-04-15.
Matthew Anthony Capezzuto's current location address is 22540 Lorain Rd, Fairview Park, Ohio. You can contact this provider via phone number 4407344037 and fax number 4407344710. The mailing address for Matthew Anthony Capezzuto is 22540 Lorain Rd, Fairview Park, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Anthony Capezzuto |
|---|---|
| Address | 22540 Lorain Rd, Fairview Park, Ohio |
| Phone Number | 4407344037 |
| Fax Number | 4407344710 |
| Sole Proprietor | Y |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1609972017 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2017-04-15 |
Provider Mailing Address Detail
| Address | 22540 Lorain Rd |
|---|---|
| City | Fairview Park |
| State | Ohio (OH) |
| Post Code | 441262212 |
| Phone Number | 4407344037 |
| Fax Number | 4407344710 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7071 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2594518 | OH | MEDICAID PROVIDER REPORTING NU |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Matthew Anthony Capezzuto by the Centers for Medicare & Medicaid Services?
The Matthew Anthony Capezzuto has been issued the NPI (National Provider Identifier) 1609972017 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Matthew Anthony Capezzuto is physically located?
The Matthew Anthony Capezzuto is physically situated at the following address: 22540 Lorain Rd, Fairview Park, OH, 441262212.
What is Matthew Anthony Capezzuto's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew Anthony Capezzuto is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609972017 to Matthew Anthony Capezzuto?
The Matthew Anthony Capezzuto received its 1609972017 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date was the information regarding Matthew Anthony Capezzuto, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew Anthony Capezzuto, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-15.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC