Individual
CHRISTINE CAPETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7700 LEESBURG PIKE, SUITE 406, FALLS CHURCH, VA 22043-2615
(703) 474-9140
(703) 913-5798
Mailing address
7700 LEESBURG PIKE, SUITE 406, FALLS CHURCH, VA 22043-2615
(703) 474-9140
(703) 913-5798
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000460221
ANTHEM BCBS
VA
01
—
0007801374
AETNA
VA
01
—
IP575525
MAGELLAN
VA
Enumeration date
12/12/2006
Last updated
07/08/2007
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