Individual
BRIAN J POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
18348 MACK AVE, GROSSE POINTE FARMS, MI 48236-3219
(313) 675-9886
Mailing address
18348 MACK AVE, GROSSE POINTE FARMS, MI 48236-3219
(313) 675-9886
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013168
MI
Other
Enumeration date
04/26/2006
Last updated
04/14/2020
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