Individual
BRANDON MICHAEL MCCOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1942 BRIDLE CREEK ST SE, KENTWOOD, MI 49508-4939
(602) 708-8921
Mailing address
1942 BRIDLE CREEK ST SE, KENTWOOD, MI 49508-4939
(602) 708-8921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008421
MI
Other
Enumeration date
12/11/2019
Last updated
08/06/2025
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