Provider Demographics
NPI:1154351773
Name:O'BRIEN, BRENDA SUE (PHD LLP LPC)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:SUE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:PHD LLP LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 E DRAYTON ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1395
Mailing Address - Country:US
Mailing Address - Phone:248-417-3596
Mailing Address - Fax:
Practice Address - Street 1:2251 N SQUIRREL RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-4600
Practice Address - Country:US
Practice Address - Phone:517-359-2432
Practice Address - Fax:517-882-3633
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401003437101YP2500X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral