Individual
SCOTT LEGLEITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 SWEET FERN WAY, TRAVERSE CITY, MI 49696-8936
(248) 240-2313
Mailing address
1805 SWEET FERN WAY, TRAVERSE CITY, MI 49696-8936
(248) 240-2313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451019399
MI
103T00000X
Psychologist
Primary
6301017931
MI
103T00000X
Psychologist
6352000809
MI
183700000X
Pharmacy Technician
5303009832
MI
183700000X
Pharmacy Technician
5353004501
MI
Other
Enumeration date
11/04/2015
Last updated
07/09/2026
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