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Contact Information

SUSAN I LEITMAN, PhD
36880 WOODWARD AVE
SUITE 205
BLOOMFIELD HILLS, MI48304-0919
 Phone: 248-258-1650
 Fax: 248-647-1572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN I LEITMAN · (Female)

NPI Number 1902017767
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/24/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301004071
  • MI Other 680F32547 BLUE CROSS BLUE SHIELD MI
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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