Individual
ELENA BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
36510 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 553-8220
(248) 553-8290
Mailing address
36510 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 553-8220
(248) 553-8290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F328500
BLUE CROSS MICHIGAN
MI
01
—
680F377870
BCBS
MI
Enumeration date
06/10/2006
Last updated
02/01/2013
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