Organization
CENTER FOR BRAINWAVE BALANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA HUTTON PH.D. (CLINICAL PSYCHOLOGIST/PRESIDENT)
(734) 585-0952
Entity
Organization
Contact information
Practice address
2245 S STATE ST, SUITE 1200 #1A, ANN ARBOR, MI 48104-6184
(734) 585-0952
(734) 585-0954
Mailing address
2245 S STATE ST, SUITE 1200 #1A, ANN ARBOR, MI 48104-6184
(734) 585-0952
(734) 585-0954
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5261
OH
Other
Enumeration date
10/09/2013
Last updated
02/06/2014
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