Individual
ANGELA NICOLE CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-4683
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-4683
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2011006748
MO
103TC0700X
Clinical Psychologist
2011006748
MO
Other
Enumeration date
07/19/2011
Last updated
10/26/2023
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