Brodie, Debra Ann

Brodie, Debra Ann is an individual health care provider with primary practice located at 300 River Place Dr Ste 5350-G , Detroit MI 48207-4457. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brodie, Debra Ann can be contacted via phone (313) 871-1450.

Contact Information

Primary practice address
300 River Place Dr Ste 5350-G Detroit MI 48207-4457
Phone: (313) 871-1450
Fax: (313) 468-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301006340 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301006340 Michigan

Profile Details

NPI number 1518956259
LBN Legal business name Brodie, Debra Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2005
Last updated Sep 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518956259 NPPES
Michigan Other 38-3347895 BLUE CROSS BLUE SHIELD

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