| Brian B Lehky Phd Pc | |
|
2202 Mitchell Park Dr Unit 5 Petoskey MI 49770-8897 | |
| (231) 439-5299 | |
| (231) 439-5272 |
| Full Name | Brian B Lehky Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2202 Mitchell Park Dr, Petoskey, Michigan |
| Authorized Official Name and Position | Brian B Lehky (CLINICAL PSYCHOLOGIST; OWNER; PRESI) |
| Authorized Official Contact | 2314395299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian B Lehky Phd Pc 2202 Mitchell Park Dr Unit 5 Petoskey MI 49770-8897 Ph: (231) 439-5299 | Brian B Lehky Phd Pc 2202 Mitchell Park Dr Unit 5 Petoskey MI 49770-8897 Ph: (231) 439-5299 |
| NPI Number | 1801195102 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 12/06/2015 |
| Medicare PECOS PAC ID | 9032397542 |
|---|---|
| Medicare Enrollment ID | O20110706000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801195102 | NPI | - | NPPES |
| OM97520 | Other | MI | MEDICARE ID - TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301010367 (Michigan) | Primary |
| Provider Name | Brian B Lehky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528113826 PECOS PAC ID: 8022296532 Enrollment ID: I20110706000195 |
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