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Contact Information

PETER M LISIECKI, PhD
7960 GRAND RIVER RD
SUITE 120
BRIGHTON, MI48114-7330
 Phone: 810-227-1999
 Fax: 810-225-2265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PETER M LISIECKI · (Male)

NPI Number 1164744983
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/21/2010
Last updated 02/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301003173
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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