Provider Demographics
NPI:1447517222
Name:CAPIZZI, LAURA PATRICIA (MS CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:PATRICIA
Last Name:CAPIZZI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 OAK LEAF CIR
Mailing Address - Street 2:F
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2947
Mailing Address - Country:US
Mailing Address - Phone:443-987-4591
Mailing Address - Fax:
Practice Address - Street 1:138 INDUSTRY LN
Practice Address - Street 2:5A
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-1741
Practice Address - Country:US
Practice Address - Phone:443-752-1617
Practice Address - Fax:410-727-2186
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD667086235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist