Individual
LEAH TERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5833
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015566
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301015566
PSYCHOLOGY LICENSE #
MI
Enumeration date
05/15/2014
Last updated
07/12/2014
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