Individual
DR. BRANDY MYSLIWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4872
Mailing address
6543 STAFFORD TRCE, ZIONSVILLE, IN 46077-9176
(574) 286-1573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043363B
IN
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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