Individual
BROOK BERNREUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18303 E 10 MILE RD STE 200, ROSEVILLE, MI 48066-4989
(800) 693-1916
Mailing address
8428 ESSEX AVE, WARREN, MI 48089-1766
(989) 415-6714
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007706
MI
Other
Enumeration date
05/09/2018
Last updated
08/03/2022
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