Individual
DR. MICHAEL JAMES BRISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
620 HILLCREST RD NW, SUITE 300, LILBURN, GA 30047-1709
(770) 638-1577
Mailing address
620 HILLCREST RD NW, SUITE 300, LILBURN, GA 30047-1709
(770) 638-1577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000558
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00494205C
—
GA
Enumeration date
12/05/2006
Last updated
07/18/2012
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