Healthcare Provider Details

I. General information

NPI: 1043915598
Provider Name (Legal Business Name): A.P.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 WALTON BLVD STE 203
ROCHESTER HILLS MI
48309-1779
US

IV. Provider business mailing address

1460 WALTON BLVD STE 203
ROCHESTER HILLS MI
48309-1779
US

V. Phone/Fax

Practice location:
  • Phone: 586-303-7785
  • Fax: 586-580-2329
Mailing address:
  • Phone: 586-303-7785
  • Fax: 586-580-2329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDRE PAURITSCH
Title or Position: PSYCHOTHERAPIST
Credential: PHD LLP CAADC
Phone: 586-303-7785