Individual
DR. LESLIE T. HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LESLIE HEFNER PH.D.
Contact information
Practice address
424 LITTLE LAKE DR, #33, ANN ARBOR, MI 48103-6207
(734) 663-0668
(734) 662-3958
Mailing address
424 LITTLE LAKE DR, #33, ANN ARBOR, MI 48103-6207
(734) 663-0668
(734) 662-3958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301000430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1244-8262
AMERICAN PAYCHOLOGICAL AS
—
01
—
13597
NATIONAL REGISTER HSPP
—
01
—
6301000430
BOARD OF PSYCHOLOGY LICEN
MI
Enumeration date
01/30/2007
Last updated
07/08/2007
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