Organization
MAPLE PSYCHIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MICHELLE BRAZZLE M.D. (PSYCHIATRIST)
(248) 932-0290
Entity
Organization
Contact information
Practice address
5640 W MAPLE RD STE 310, WEST BLOOMFIELD, MI 48322-3719
(248) 932-0290
(248) 932-0358
Mailing address
5640 W MAPLE RD STE 310, WEST BLOOMFIELD, MI 48322-3719
(248) 932-0290
(248) 932-0358
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
4301052026
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
4301052026
MI
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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