MEDICARE: DR. MARIE U CAPARSO PH.D

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	103TC1900X	Counseling Psychologist	4845	MA

General Provider Information

NPI Number	:	1386645612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE U CAPARSO PH.D

Provider Business Mailing Address
First Line	:	142 CHARLES ST
Second Line	:
City	:	LEICESTER
State	:	MA
Zip	:	01524-2157
Country	:	US
Telephone Number	:	508-892-8676
Fax Number	:	508-892-0349

Provider Business Practice Location Address
First Line	:	48 CEDAR ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-2134
Country	:	US
Telephone Number	:	508-753-4901
Fax Number	:	508-892-0349

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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