Individual
REGINA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30700 TELEGRAPH RD STE 3450, BINGHAM FARMS, MI 48025-4527
(248) 987-4721
(248) 715-6804
Mailing address
30700 TELEGRAPH RD STE 3450, BINGHAM FARMS, MI 48025-4527
(248) 987-4721
(248) 715-6804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361000599
MI
103TC0700X
Clinical Psychologist
6361000599
MI
103TC1900X
Counseling Psychologist
6361000599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16658
—
MI
Enumeration date
03/26/2008
Last updated
11/15/2021
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