Individual
DR. MICHAEL BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
620 WEST MAIN, SUITE 1, LEAGUE CITY, TX 77573-3760
(231) 338-2992
Mailing address
PO BOX 648, LEAGUE CITY, TX 77574-0648
(231) 338-2992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
TSBEP 22197
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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