Individual
BRANDEE LEIGH PEIKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LLP
Contact information
Practice address
310 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4693
(616) 913-1400
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10D11275
BC/BS
MI
Enumeration date
06/29/2006
Last updated
07/08/2007
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