Individual
SCOTT LEGLEITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-2750
(231) 935-7653
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
(231) 935-7653
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017931
MI
183700000X
Pharmacy Technician
5303009832
MI
Other
Enumeration date
11/04/2015
Last updated
06/20/2019
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