Individual
DR. BRENDA RAE HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
117N 1ST ST 109, ANN ARBOR, MI 48104-1354
(734) 332-4322
Mailing address
117N 1ST ST 109, ANN ARBOR, MI 48104-1354
(734) 332-4322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0-H1-4833-0
BCBS OF MI PIN
MI
Enumeration date
05/16/2007
Last updated
08/26/2015
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