Clarke, Capen Shayne

Clarke, Capen Shayne is an sole proprietor health care provider with primary practice located at 4420 Delespine Rd , Cocoa FL 32927-3552. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Clarke, Capen Shayne can be contacted via phone (321) 795-6818.

Contact Information

Primary practice address
4420 Delespine Rd Cocoa FL 32927-3552
Phone: (321) 795-6818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X PO17106 North Carolina

Profile Details

NPI number 1083140438
LBN Legal business name Clarke, Capen Shayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2017
Last updated Oct 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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