Individual
JAYME L. CAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7988
Mailing address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9029
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018TE
BC GROUP BILLING NUMBER
NC
Enumeration date
07/16/2010
Last updated
02/24/2022
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