Individual
SAMANTHA RAE BRENEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2200 GENOA BUSINESS PARK DR STE 100, BRIGHTON, MI 48114-5328
(517) 492-0517
(810) 215-1334
Mailing address
2200 GENOA BUSINESS PARK DR STE 100, BRIGHTON, MI 48114-5328
(517) 492-0517
(810) 215-1334
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361005809
MI
103TC0700X
Clinical Psychologist
Primary
6301018378
MI
Other
Enumeration date
06/01/2016
Last updated
08/12/2026
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