Liethen, Philip Charles

Liethen, Philip Charles is an individual health care provider with primary practice located at 2616 Whitney Pl , Fort Gratiot MI 48059-3952. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Liethen, Philip Charles can be contacted via phone (586) 246-5746.

Contact Information

Primary practice address
2616 Whitney Pl Fort Gratiot MI 48059-3952
Phone: (586) 246-5746
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3063 Michigan
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2082 Wisconsin

Profile Details

NPI number 1689659526
LBN Legal business name Liethen, Philip Charles
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
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.

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