Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 647 | NH |
N | 103TC0700X | Clinical Psychologist | 647 | NH |
N | 102L00000X | Psychologist | 647 | NH |
N | 103T00000X | Psychologist | 647 | NH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 647 | NH |
N | 103G00000X | Clinical Psychologist | 647 | NH |
N | 103TC0700X | Clinical Psychologist | 647 | NH |
N | 103TC1900X | Counseling Psychologist | 647 | NH |
N | 103TR0400X | Rehabilitation Psychologist | 647 | NH |
NPI | 1184753824 |
---|---|
Provider Name | Dr. John Thomas Capuco |
First Address | Henniker, NH 03242-3502 |
Second Address | Concord, NH 03301-2551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 08/07/2007 |