Organization
LESLIE W. GREEN, PHD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE W GREEN PH.D. (PRESIDENT)
(248) 765-8366
Entity
Organization
Contact information
Practice address
1740 W BIG BEAVER RD STE 206, TROY, MI 48084-3507
(248) 593-0678
Mailing address
PO BOX 1563, TROY, MI 48099-1563
(248) 765-8366
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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