| Andrea Brent And Associates | |
|
24330 John R Rd # 231 Hazel Park MI 48030-1112 | |
| (248) 793-1501 | |
| Not Available |
| Full Name | Andrea Brent And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 24330 John R Rd # 231, Hazel Park, Michigan |
| Authorized Official Name and Position | Andrea Brent (OWNER) |
| Authorized Official Contact | 2487931501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Brent And Associates 24330 John R Rd # 231 Hazel Park MI 48030-1112 Ph: (248) 793-1501 | Andrea Brent And Associates 24330 John R Rd # 231 Hazel Park MI 48030-1112 Ph: (248) 793-1501 |
| NPI Number | 1205570272 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 3971021478 |
|---|---|
| Medicare Enrollment ID | O20250519002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205570272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea Brent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679974851 PECOS PAC ID: 2961912100 Enrollment ID: I20250606003498 |
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