Individual
DIANA BRDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LLP
Contact information
Practice address
705 S MAIN ST STE 280, PLYMOUTH, MI 48170-1060
(734) 751-2543
Mailing address
8243 MILBURN ST, WESTLAND, MI 48185-1767
(734) 751-2543
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361001520
MI
247200000X
Other Technician
—
—
Other
Enumeration date
12/12/2014
Last updated
06/09/2021
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