Organization
LEONARD PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE T LEONARD PHD (PRESIDENT)
(734) 368-0853
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(734) 368-0853
Mailing address
PO BOX 1653, ANN ARBOR, MI 48106-1653
(734) 368-0853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014067
MI
Other
Enumeration date
12/10/2014
Last updated
01/14/2015
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