Individual
DIANE DECAPRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
5550 CLARK AVE, CLEVELAND, OH 44102-4598
(216) 631-2760
Mailing address
5550 CLARK AVE, CLEVELAND, OH 44102-4598
(216) 631-2760
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
KU1040255
OH
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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