Basic Information
| Provider Information | |||||||||
| NPI: | 1881724516 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LACAP | ||||||||
| FirstName: | CONSTANCE | ||||||||
| MiddleName: | N. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HOUSER | ||||||||
| OtherFirstName: | CONSTANCE | ||||||||
| OtherMiddleName: | N. | ||||||||
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| OtherCredential: | DO | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 701 W PRATT ST | ||||||||
| Address2: | PSYCHIATRY, 4TH FLOOR | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212011023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103286325 | ||||||||
| FaxNumber: | 4103281212 | ||||||||
| Practice Location | |||||||||
| Address1: | 827 LINDEN AVE FL 2 | ||||||||
| Address2: | CARRUTHERS CLINIC | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212014606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104625799 | ||||||||
| FaxNumber: | 4104625836 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2007 | ||||||||
| LastUpdateDate: | 07/31/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | H0068718 | MD | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.