(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003283169
Provider Name: BREN SHANTZ LPC, LLP
Entity Type: Individual
Taxonomy Code: 103TC1900X
Specialty: Psychologist
License Number: 6301016034
Most Important Dates
Enumeration Date: 08/25/2015
Last Updated: 01/03/2019
Provider Practice Location
4890 11 MILE RD NE
ROCKFORD
MI
493418477
Practice Location Phone/Fax
Phone: 6164391866
Fax:
Provider Mailing Location
3201 BURTON ST SE
GRAND RAPIDS
MI
495464301
Provider Mailing Phone/Fax
Phone: 6164391866
Fax: