Green, Leslie Weiss
Green, Leslie Weiss is an sole proprietor health care provider with primary practice located at 755 W Big Beaver Rd Suite 414, Troy MI 48084-4900. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Green, Leslie Weiss can be contacted via phone (248) 593-0678.Contact Information
Primary practice address
755 W Big Beaver Rd Suite 414
Troy MI 48084-4900
Phone: (248) 593-0678
Fax: (248) 593-9766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301005638 | Michigan |
Profile Details
| NPI number | 1073646774 |
|---|---|
| LBN Legal business name | Green, Leslie Weiss |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073646774 | NPPES |
| Michigan | Other | 620F33143 | BLUE CROSS PIN |
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