Organization
ELENA BRAND, PH.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA BRAND PHD (OWNER)
(248) 553-8220
Entity
Organization
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 BLUE SHIELD OF
MI
Enumeration date
07/11/2007
Last updated
07/11/2007
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