Individual
DR. MITCHELL SCOTT WEISBROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
437 FERN AVE STE C, JACKSON, MI 49202-3970
(989) 292-3592
(517) 780-9239
Mailing address
115 S WEST AVE, STE 1, JACKSON, MI 49201-2085
(517) 544-7700
(517) 612-8817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008984
MI
Other
Enumeration date
11/15/2006
Last updated
08/12/2025
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