MEDICARE: MS. MARIA ANN SAPORITO LMFT

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	106H00000X	Marriage & Family Therapist	1308	NC

General Provider Information

NPI Number	:	1700095684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA ANN SAPORITO LMFT

Provider Business Mailing Address
First Line	:	23 SIGNET DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-1790
Country	:	US
Telephone Number	:	973-865-0699
Fax Number	:

Provider Business Practice Location Address
First Line	:	2317 EXECUTIVE CIR STE B
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3762
Country	:	US
Telephone Number	:	252-353-4968
Fax Number	:	252-353-4967

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	04/23/2010

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