Individual
DR. KENNY BERTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3521 STATE ST, SAGINAW, MI 48602-3267
(989) 791-1740
(989) 791-1746
Mailing address
1485 AVALON AVE, SAGINAW, MI 48638-4720
(989) 598-5962
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005719
MI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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