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NPI Code Detail

MEDICARE: HEATHER S CAPLES PHD

MEDICARE: HEATHER S CAPLES PHD
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
1103G00000XClinical Neuropsychologist3563AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609986660
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER S CAPLES PHD
Provider Business Mailing Address
First Line : 240 W THOMAS RD # 301
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4407
Country : US
Telephone Number : 602-406-7765
Fax Number : 602-294-5519
Provider Business Practice Location Address
First Line : 222 W THOMAS RD STE 401
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4423
Country : US
Telephone Number : 602-406-3473
Fax Number : 602-406-4406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 10/16/2024

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Directions to “ HEATHER S CAPLES PHD” Practice Location

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