Individual
DR. THOMAS GERALD BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3200 W. LIBERTY RD., SUITE A, ANN ARBOR, MI 48103-9794
(734) 994-9181
Mailing address
3200 W. LIBERTY RD., SUITE A, ANN ARBOR, MI 48103-9794
(734) 994-9181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009090
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301009090
MI
103TF0200X
Forensic Psychologist
6301009090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680H1480600
BLUE CROSS BLUE SHIELD NO
MI
Enumeration date
05/10/2007
Last updated
07/25/2012
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