Organization
JEFFREY M LAST PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MICHAEL LAST PH.D. (OWNER)
(248) 559-5774
Entity
Organization
Contact information
Practice address
20300 CIVIC CENTER DR, SUITE 303, SOUTHFIELD, MI 48076-4105
(248) 559-5774
(248) 559-8776
Mailing address
20300 CIVIC CENTER DR, SUITE 303, SOUTHFIELD, MI 48076-4105
(248) 559-5774
(248) 559-8776
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301003183
MI
Other
Enumeration date
02/03/2011
Last updated
05/19/2011
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