| Brain Training Center Llc | |
|
29877 Telegraph Rd Ste 107 Southfield MI 48034-7658 | |
| (248) 703-6943 | |
| Not Available |
| Full Name | Brain Training Center Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 29877 Telegraph Rd Ste 107, Southfield, Michigan |
| Authorized Official Name and Position | Donald Magder (SOLE MEMBER) |
| Authorized Official Contact | 2487036943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Training Center Llc 29877 Telegraph Rd Ste 107 Southfield MI 48034-7658 Ph: (248) 703-6943 | Brain Training Center Llc 29877 Telegraph Rd Ste 107 Southfield MI 48034-7658 Ph: (248) 703-6943 |
| NPI Number | 1285278598 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 01/14/2020 |
| Certification Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285278598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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