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General NPI Number Information
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NPI Number | 1033032016
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH PSYCHOLOGY ASSESSMENT & CONSULTING
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 3900 PINE GROVE AVE STE 6
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4245
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Country | US
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Telephone | 313-403-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 PINE GROVE AVE STE 6
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4245
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Country | US
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Telephone | 810-662-0030
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Fax |
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Authorized Official
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Title or Position | CLINICAL HEALTH PSYCHOLOGIST
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Name | DR. BREANNA THORNTON
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Credential | PSYD
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Telephone | 313-403-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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