Individual
COLLEEN ANNE CAPEZZUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED SCHOOL PSY
Contact information
Practice address
184 OAK COMMON AVE, ST AUGUSTINE, FL 32095-6805
(904) 907-7489
Mailing address
184 OAK COMMON AVE, ST AUGUSTINE, FL 32095-6805
(904) 907-7489
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
SS1538
FL
Other
Enumeration date
11/07/2022
Last updated
11/14/2022
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