| Mr Bryan Granger, LPC | |
|
5500 Auto Club Dr Ste 350, Dearborn, MI 48126-2779 | |
| (313) 317-2000 | |
| (313) 317-2090 |
| Full Name | Mr Bryan Granger |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 5500 Auto Club Dr Ste 350, Dearborn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073974234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014325 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bryan Granger, LPC 5500 Auto Club Dr Ste 350, Dearborn, MI 48126-2779 Ph: (313) 317-2000 | Mr Bryan Granger, LPC 5500 Auto Club Dr Ste 350, Dearborn, MI 48126-2779 Ph: (313) 317-2000 |
Rajah Ismail, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6450 Maple St, Dearborn, MI 48126 Phone: 313-216-2200 Fax: 313-584-3622 | |
Phoenix Greenwood-haller, Counselor Medicare: Medicare Enrolled Practice Location: 1 Parklane Blvd # 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657 | |
Kathryn Landfair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19855 Outer Dr Ste 300w, Dearborn, MI 48124 Phone: 313-359-1977 | |
Mrs. Nneka Jean Owens, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22190 Garrison St, Suite 204, Dearborn, MI 48124 Phone: 313-769-5705 Fax: 313-769-6008 | |
Mr. John Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5075 Argyle St, Dearborn, MI 48126 Phone: 313-909-9390 | |
Mrs. Lisa Michelle Green, LPC Counselor Medicare: Medicare Enrolled Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Mr. Jeffrey Wallace Spier, M.A., L.L.P., CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 23400 Michigan Ave, Suite 702, Dearborn, MI 48124 Phone: 313-274-7010 Fax: 313-274-3010 |