Doctor Name: | BRIAN A WEEKS |
NPI Number: | 1063422996 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 6301009224 |
Business Practice Address: | 200 Diversion St 210 Rochester Hills, MI - 483076635 |
Business Phone Number: | 2486505113 |
Business Fax Number: | 2486505113 |
Mailing Address: | 200 Diversion St, 210 ROCHESTER HILLS |
State: | MI |
Postal Code: | 483076635 |
Phone Number: | 2486505113 |
Fax Number: | 2486505113 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301009224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |