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Contact Information

LINDA A LIETHEN, LLP
1501 KRAFFT RD
FORT GRATIOT TOWNSHIP, MI48059-3565
 Phone: 810-985-5125
 Fax: 810-985-5127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LINDA A LIETHEN · (Female)

NPI # 1346264322
Status Active
Credentials LLP
Entity Individual
Enumeration date 07/26/2006
Last updated 10/29/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301003381
  • MI Other 0G46345 BLUE WATER COUNSELING PTAN ID
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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