MEDICARE: MS. YANIRA CAPARROS MS,CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	04868	MD

General Provider Information

NPI Number	:	1265655708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YANIRA CAPARROS MS,CCC-SLP

Provider Business Mailing Address
First Line	:	18719 PIKEVIEW DR
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-1965
Country	:	US
Telephone Number	:	301-600-3708
Fax Number	:	310-607-1017

Provider Business Practice Location Address
First Line	:	1900 ROSEMONT AVE
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-8249
Country	:	US
Telephone Number	:	301-600-3708
Fax Number	:	310-607-1017

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

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