MEDICARE: AMY CAPETA SPEECH LANGUAGE PATHOLOGIST LLC

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1700578713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY CAPETA SPEECH LANGUAGE PATHOLOGIST LLC

Provider Business Mailing Address
First Line	:	3443 PARFOURE BLVD
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-7804
Country	:	US
Telephone Number	:	330-607-3745
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 PARFOURE BLVD
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-7804
Country	:	US
Telephone Number	:	330-607-3745
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. AMY CAPETA
Credential	:
Telephone Number	:	330-607-3745

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	05/26/2023

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Directions to “AMY CAPETA SPEECH LANGUAGE PATHOLOGIST LLC ” Practice Location

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