Provider Demographics
NPI:1881724516
Name:LACAP, CONSTANCE N (DO)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:N
Last Name:LACAP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:N
Other - Last Name:HOUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:701 W PRATT ST
Mailing Address - Street 2:PSYCHIATRY, 4TH FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1023
Mailing Address - Country:US
Mailing Address - Phone:410-328-6325
Mailing Address - Fax:410-328-1212
Practice Address - Street 1:827 LINDEN AVE FL 2
Practice Address - Street 2:CARRUTHERS CLINIC
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4606
Practice Address - Country:US
Practice Address - Phone:410-462-5799
Practice Address - Fax:410-462-5836
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH00687182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry