MEDICARE: BRIANNA EICK MA, MLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6361008336	MI

General Provider Information

NPI Number	:	1457984197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA EICK MA, MLP

Provider Business Mailing Address
First Line	:	5708 VENTURE CT STE B
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-2858
Country	:	US
Telephone Number	:	269-459-1818
Fax Number	:	269-365-9951

Provider Business Practice Location Address
First Line	:	5708 VENTURE CT STE B
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-2858
Country	:	US
Telephone Number	:	269-459-1818
Fax Number	:	269-365-9951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2020
Last Update Date	:	05/19/2026

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