| Doctor Name: | DR. HARRY EDWARD CAPPS |
| NPI Number: | 1093868093 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 6301008488 |
| Business Practice Address: | 20816 E 11 Mile Rd Suite 108 Saint Clair Shores, MI - 480811565 |
| Business Phone Number: | 3132136377 |
| Business Fax Number: | 3138218392 |
| Mailing Address: | 547 Barrington Rd, GROSSE POINTE PARK |
| State: | MI |
| Postal Code: | 482301721 |
| Phone Number: | 3132136377 |
| Fax Number: | 3138218392 |
| NPI Enumeration Date: | 01/21/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301008488 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |