Provider Demographics
NPI:1164699211
Name:BRICKMAN, ARTHUR S (PHD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:S
Last Name:BRICKMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MAYNARD ST APT 606
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2407
Mailing Address - Country:US
Mailing Address - Phone:734-662-2255
Mailing Address - Fax:734-662-2255
Practice Address - Street 1:400 MAYNARD ST APT 606
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2407
Practice Address - Country:US
Practice Address - Phone:734-662-2255
Practice Address - Fax:734-662-2255
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002924103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist