Organization
GROUP PSYCHOTHERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEORA PNINA BAR-LEVAV MD. (PRESIDENT)
(248) 353-4818
Entity
Organization
Contact information
Practice address
29600 NORTHWESTERN HWY, 100B, SOUTHFIELD, MI 48034-1016
(248) 353-4818
(248) 353-8107
Mailing address
29600 NORTHWESTERN HWY, 100B, SOUTHFIELD, MI 48034-1016
(248) 353-4818
(248) 353-8107
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301054148
MI
Other
Enumeration date
12/07/2017
Last updated
01/23/2018
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