Michael James Brissett PH.D.

NPI 1407914773 - Psychologist - 103TC0700X

NPI Details
NPI 1407914773
Gender Male
Enumeration Date 12/05/2006
Last Updated 07/18/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
620 HILLCREST RD NW
SUITE 300
LILBURN GA, 30047-1709, US
Phone (770) 638-1577
Fax
Business Location
620 HILLCREST RD NW
SUITE 300
LILBURN GA, 30047-1709, US
Phone (770) 638-1577
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number 000558
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According to our database, Dr. Michael James Brissett PH.D. NPI is 1407914773, taxonomy code is 103TC0700X and license number is 000558, license state is located at Georgia. Michael James Brissett PH.D. physically located at 620 Hillcrest Rd Nw, Lilburn GA, 30047-1709. NPI Number Michael James Brissett PH.D. has the Individual type.

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1407914773 NPI number is provided on an as is basis without warranty of any kind. 1407914773 is maintained by the National Plan & Provider Enumeration System. The contents of Michael James Brissett PH.D. are for informational purposes only.