Laura Eyman Brdak, MA, LLP
Psychologist, Clinical in Southfield, MI. Individual provider (NPI-1).
NPI number1720163355
StatusActive
Last updated in NPPESSep 4, 2015
Details
- NPI
- 1720163355
- Entity type
- Individual (NPI-1)
- Name
- Laura Eyman Brdak
- Credential
- MA, LLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Sep 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301012402 | MI | Yes |
Practice location
22170 W 9 Mile RdSouthfield, MI 48033-6007
Phone 248-372-6800
Mailing address
16952 Kensington DrMacomb, MI 48044-4093
Phone 248-302-0998
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