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DR. PHILIP CHARLES LIETHEN PHD

Clinical Neuropsychologist

Fort Gratiot, Michigan

Provider NPI: 1689659526

Provider Information:
DR. PHILIP CHARLES LIETHEN PHD
Gender: M


Practice Location:
2616 WHITNEY PL  FORT GRATIOT, MI 48059 US
Tel: 586-246-5746  Fax: --

Business Mailing Address:
2616 WHITNEY PL  FORT GRATIOT, MI 48059 US
Tel: 586-246-5746  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI3063
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI2082









CLINICAL NEUROPSYCHOLOGIST JOBS MI - Page 1

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