Leslie Theodorakakos, - Psychologist in Canton, MI

Leslie Theodorakakos, is a Psychologist - School based in Canton, Michigan. Leslie Theodorakakos is licensed to practice in * (Not Available) (license number ) and her current practice location is 41716 Sanctuary Ln, Canton, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 905-0026.

NPI number for Leslie Theodorakakos is 1215530779 and her current mailing address is 41716 Sanctuary Ln, Canton, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215530779.

Contact Information

Leslie Theodorakakos,
41716 Sanctuary Ln,
Canton, MI 48188-4007
(734) 905-0026
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLeslie Theodorakakos
GenderFemale
SpecialityPsychologist - School
Location41716 Sanctuary Ln, Canton, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215530779
  • Provider Enumeration Date: 11/18/2020
  • Last Update Date: 11/18/2020

Medical Identifiers

Medical identifiers for Leslie Theodorakakos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215530779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Theodorakakos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie Theodorakakos,
41716 Sanctuary Ln,
Canton, MI 48188-4007

Ph: (734) 905-0026
Leslie Theodorakakos,
41716 Sanctuary Ln,
Canton, MI 48188-4007

Ph: (734) 905-0026

Reviews and Comments


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