Leah Terian, PHD | |
50 N Perry St, Pontiac, MI 48342-2217 | |
(248) 338-5833 | |
Not Available |
Full Name | Leah Terian |
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Gender | Female |
Speciality | Psychologist |
Location | 50 N Perry St, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649681313 | NPI | - | NPPES |
6301015566 | Other | MI | PSYCHOLOGY LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301015566 (Michigan) | Primary |
Entity Name | Ascension Eastwood Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572 |
Entity Name | Advanced Psychiatric Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306252531 PECOS PAC ID: 8022234806 Enrollment ID: O20140731001141 |
Mailing Address | Practice Location Address |
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Leah Terian, PHD 50 N Perry St, Pontiac, MI 48342-2217 Ph: () - | Leah Terian, PHD 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5833 |
Ms. Theresa Jeanne Miller, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
Alice Michelle Monte, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
Dr. Melissa Mandl-mase, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Suite 100, Pontiac, MI 48341 Phone: 248-456-1991 | |
Antwan Croom, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1841 N Perry St, Pontiac, MI 48340 Phone: 248-745-4900 | |
Christine Greb, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3999 Centerpoint Pkwy Ste 111, Pontiac, MI 48341 Phone: 248-762-6913 | |
Dr. Kelly Kling-selander, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave Ste 405, Pontiac, MI 48341 Phone: 248-335-4010 | |
Jacqueline Margaret Blake, MA, LPC, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 |