Individual
ANDREA BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
26545 ALDEN ST, MADISON HTS, MI 48071
(248) 793-1501
Mailing address
24330 JOHN R RD # 231, HAZEL PARK, MI 48030-1112
(248) 793-1501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016808
MI
Other
Enumeration date
09/08/2014
Last updated
04/29/2022
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