Doctor Name: | DR. ANDREW THOMAS CAPPAS |
NPI Number: | 1265465736 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | THD |
License Number: | 0698 |
Business Practice Address: | 17854 Maumee Ave Grosse Pointe, MI - 48230 |
Business Phone Number: | 3138862580 |
Business Fax Number: | |
Mailing Address: | 17854 Maumee Ave, GROSSE POINTE |
State: | MI |
Postal Code: | 48230 |
Phone Number: | 3138862580 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 12/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |