Individual
BROOKE INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
316 PHYSICS RD, EAST LANSING, MI 48824-5604
(517) 432-8412
Mailing address
316 PHYSICS RD, EAST LANSING, MI 48824-5604
(517) 432-8412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013668
MI
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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