Individual
AMY BRECKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
8201 ANGLERS LN, HUDSONVILLE, MI 49426-8641
(616) 723-3925
Mailing address
8201 ANGLERS LN, HUDSONVILLE, MI 49426-8641
(616) 723-3925
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301008475
MI
Other
Enumeration date
11/29/2016
Last updated
11/06/2020
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