Individual
LAURA A BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11650 DOWNES ST, LOWELL, MI 49331-9489
(616) 289-7784
(616) 897-7054
Mailing address
13787 GRINDLE DR, LOWELL, MI 49331-9324
(616) 987-3412
(616) 897-7054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012591
MI
Other
Enumeration date
07/13/2010
Last updated
06/20/2012
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