Individual
DR. JEREMY CAPELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2901 MONTOPOLIS DRIVE, AUSTIN, TX 78741
(512) 389-6533
Mailing address
6846 LA CONCHA PASS, AUSTIN, TX 78749-4253
(512) 301-0122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1834
KS
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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