MEDICARE: LINDA BRESETTE LLP

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

General Provider Information

NPI Number	:	1538009998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA BRESETTE LLP

Provider Business Mailing Address
First Line	:	5375 CRAIG RD
Second Line	:
City	:	STOCKBRIDGE
State	:	MI
Zip	:	49285-9549
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W GRAND RIVER AVE STE 834
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-2303
Country	:	US
Telephone Number	:	313-543-2599
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	LINDA BRESETTE
Credential	:	MS LLP
Telephone Number	:	313-643-2599

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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