Provider Demographics
NPI:1871985754
Name:CAPRA, ANTONIO JR
Entity type:Individual
Prefix:MR
First Name:ANTONIO
Middle Name:
Last Name:CAPRA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:CAPRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M ED
Mailing Address - Street 1:1349 E. 79TH ST.
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103
Mailing Address - Country:US
Mailing Address - Phone:216-838-0280
Mailing Address - Fax:216-431-2180
Practice Address - Street 1:1349 E. 79TH ST.
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103
Practice Address - Country:US
Practice Address - Phone:216-838-0280
Practice Address - Fax:216-431-2180
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1307809103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool