institution
Jeffrey M Last Phd Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, Michigan
NPI 1336445675

Jeffrey M Last Phd Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Southfield, MI and is specialized in Mental Health (Including Community Mental Health Center). Jeffrey M Last Phd Pllc practices in Southfield, MI. The NPI Number for Jeffrey M Last Phd Pllc is 1336445675 and holds a License No. 6301003183 (Michigan).

The current practice location address for Jeffrey M Last Phd Pllc is 20300 Civic Center Dr, Southfield, MI and can be reached out via phone at 248-559-5774 and via fax at 248-559-8776.

Location: 20300 Civic Center Dr, Southfield, MI, 48076-4105
institution
Provider Profile Details
NPI Number
1336445675
Provider Name
Jeffrey M Last Phd Pllc
Credential
Provider Entity Type
Organization
Address
20300 Civic Center Dr, Southfield, MI, 48076-4105
Phone Number
248-559-5774
Fax Number
248-559-8776
Provider Enumeration Date
02/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20300 Civic Center Dr
City
State
Zip
48076-4105
Phone Number
248-559-5774
Fax Number
248-559-8776
person
Provider Business Mailing Address Details
Address
20300 Civic Center Dr
City
State
Zip
48076-4105
Phone Number
248-559-5774
Fax Number
248-559-8776
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
6301003183 (Michigan)
Definition
Definition to come...
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