Matthew Anthony Capezzuto, LISW
Psychologist, Clinical in Fairview Park, OH. Individual provider (NPI-1).
NPI number1609972017
StatusActive
Last updated in NPPESApr 15, 2017
Details
- NPI
- 1609972017
- Entity type
- Individual (NPI-1)
- Name
- Matthew Anthony Capezzuto
- Credential
- LISW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2006
- Last updated
- Apr 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 7071 | OH | Yes |
| 1041C0700X | Social Worker, Clinical | I7623 | OH |
Practice location
22540 Lorain RdFairview Park, OH 44126-2212
Phone 440-734-4037 · Fax 440-734-4710
Mailing address
22540 Lorain RdFairview Park, OH 44126-2212
Phone 440-734-4037 · Fax 440-734-4710
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