| Leslie W. Green, Phd, P.c. | |
|
1740 W Big Beaver Rd Ste 206 Troy MI 48084-3507 | |
| (248) 593-0678 | |
| Not Available |
| Full Name | Leslie W. Green, Phd, P.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1740 W Big Beaver Rd Ste 206, Troy, Michigan |
| Authorized Official Name and Position | Leslie W Green (PRESIDENT) |
| Authorized Official Contact | 2487658366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie W. Green, Phd, P.c. Po Box 1563 Troy MI 48099-1563 Ph: (248) 765-8366 | Leslie W. Green, Phd, P.c. 1740 W Big Beaver Rd Ste 206 Troy MI 48084-3507 Ph: (248) 593-0678 |
| NPI Number | 1174266373 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174266373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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