Healthcare Provider Details

I. General information

NPI: 1932310612
Provider Name (Legal Business Name): DONDI RENEA BROWNER MA, LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1547 S WAYNE RD
WESTLAND MI
48186-5436
US

IV. Provider business mailing address

3084 LAWTON ST
DETROIT MI
48216-1134
US

V. Phone/Fax

Practice location:
  • Phone: 734-729-3133
  • Fax: 734-729-3130
Mailing address:
  • Phone: 313-285-8253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301012795
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: