| NPI | 1760752976 |
|---|---|
| Former Legal Business Name | MITCHELL S. WEISBROD, PSY.D. |
| Entity Type | Organization |
| Authorized Contact | MITCHELL SCOTT WEISBROD Clinical Psychologist 517-544-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008984) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2017-04-07 |