Individual
DR. JEFFREY MICHAEL LAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20300 CIVIC CENTER DR, SUITE 303, SOUTHFIELD, MI 48076-4105
(248) 559-5774
(248) 559-8776
Mailing address
20300 CIVIC CENTER DR, SUITE 303, SOUTHFIELD, MI 48076-4105
(248) 559-5774
(248) 559-8776
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003183
MI
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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