DR. Michelle A Brouillette, PHD, LP

NPI #1295712495 in Burnsville, Minnesota

Provider Information

NPI Number: 1295712495
Entity Type: Individual
Name: DR. Michelle A Brouillette, PHD, LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD, LP
Enumeration Date: Dec 28, 2005
Last Updated: Jul 13, 2020

Practice Location

Address: 11990 PORTLAND AVE
City: Burnsville
State: Minnesota
ZIP Code: 55337-1516
Phone: (612) 462-7053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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