Individual
DR. PETER MICHAEL LISIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7960 GRAND RIVER RD, SUITE 120, BRIGHTON, MI 48114-7330
(810) 227-1999
(810) 225-2265
Mailing address
7960 GRAND RIVER RD, SUITE 120, BRIGHTON, MI 48114-7330
(810) 227-1999
(810) 225-2265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003173
MI
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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