DR. Philip Charles Liethen, PHD
NPI #1689659526 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1689659526
- Entity Type
- Individual
- Name
- DR. Philip Charles Liethen, PHD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- PHD
- Enumeration Date
- Dec 14, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2616 WHITNEY PL
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3952
- Phone
- (586) 246-5746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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