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Organization

MITCHELL S. WEISBROD, PSY.D., PLLC

Active
Other names
Mitchell S. Weisbrod, Psy.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL SCOTT WEISBROD PSY.D. (CLINICAL PSYCHOLOGIST)
(517) 544-7700
Entity
Organization

Contact information

Practice address
115 S WEST AVE STE 1, JACKSON, MI 49201-2085
(517) 544-7700
(517) 612-8817
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
01/04/2012
Last updated
04/07/2017
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