Doctor Name: | DR. RENEE ILENE APPLEBAUM |
NPI Number: | 1083789838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | 6301009696 |
Business Practice Address: | 30150 Telegraph Rd Suite 255 Bingham Farms, MI - 480254519 |
Business Phone Number: | 2482039107 |
Business Fax Number: | 2482037117 |
Mailing Address: | 30150 Telegraph Rd, Suite 255 BINGHAM FARMS |
State: | MI |
Postal Code: | 480254519 |
Phone Number: | 2482039107 |
Fax Number: | 2482037117 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 6301009696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |