Individual
DR. MICHAEL ROBERT CAPAWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
151 MERRIMAC ST, 5TH FLOOR, BOSTON, MA 02114-4714
(617) 643-0174
Mailing address
151 MERRIMAC ST, 5TH FLOOR, BOSTON, MA 02114-4714
(617) 643-0174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10746
MA
Other
Enumeration date
09/02/2011
Last updated
12/19/2017
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