IndividualActive
Charles Capicchioni, M.A.L.L.P.
NPI 1427255355 · Clinical Child & Adolescent Psychologist · Southfield, MI
Provider details
- NPI number
- 1427255355
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A.L.L.P.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301012712 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
29260 Franklin Rd
Southfield, MI 48034-1161
Phone: (248) 355-4300
Approximate (ZIP-level) locationGet directions
Mailing address
1251 Hidden Hbr
Walled Lake, MI 48390-2111
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.