Dr. Mitchell Scott Weisbrod, Psy.D.
Psychologist, Clinical in Jackson, MI. Individual provider (NPI-1).
NPI number1629141007
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1629141007
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mitchell Scott Weisbrod
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2006
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301008984 | MI | Yes |
Practice location
437 Fern Ave Ste CJackson, MI 49202-3970
Phone 989-292-3592 · Fax 517-780-9239
Mailing address
115 S West AveSte 1
Jackson, MI 49201-2085
Phone 517-544-7700 · Fax 517-612-8817
Other practice locations
1505 Waterford Pkwy
Saint Johns, MI 48879-9630
Saint Johns, MI 48879-9630
Phone 989-292-3572
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