Organization
BRIAN B LEHKY PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN B LEHKY PHD (CLINICAL PSYCHOLOGIST; OWNER; PRESI)
(231) 439-5299
Entity
Organization
Contact information
Practice address
2202 MITCHELL PARK DR, UNIT 5, PETOSKEY, MI 49770-8897
(231) 439-5299
(231) 439-5272
Mailing address
2202 MITCHELL PARK DR, UNIT 5, PETOSKEY, MI 49770-8897
(231) 439-5299
(231) 439-5272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OM97520
MEDICARE ID - TYPE UNSPECIFIED
MI
Enumeration date
03/25/2011
Last updated
12/06/2015
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