Healthcare Provider Details
I. General information
NPI: 1538009998
Provider Name (Legal Business Name): LINDA BRESETTE LLP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 W GRAND RIVER AVE STE 834
BRIGHTON MI
48116-2303
US
IV. Provider business mailing address
5375 CRAIG RD
STOCKBRIDGE MI
49285-9549
US
V. Phone/Fax
- Phone: 313-543-2599
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
BRESETTE
Title or Position: PSYCHOTHERAPIST
Credential: MS LLP PLLC
Phone: 313-643-2599