| Peter M Lisiecki Phd Pc Inc | |
|
7960 W. Grand River Ste 120 Brighton MI 48114-7335 | |
| (810) 227-1999 | |
| (810) 225-2265 |
| Full Name | Peter M Lisiecki Phd Pc Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7960 W. Grand River, Brighton, Michigan |
| Authorized Official Name and Position | Peter Michael Lisiecki (PRESIDENT) |
| Authorized Official Contact | 8102271999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter M Lisiecki Phd Pc Inc 7960 Grand River Rd Ste 120 Brighton MI 48114-7335 Ph: () - | Peter M Lisiecki Phd Pc Inc 7960 W. Grand River Ste 120 Brighton MI 48114-7335 Ph: (810) 227-1999 |
| NPI Number | 1043352701 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/17/2010 |
| Medicare PECOS PAC ID | 0446389381 |
|---|---|
| Medicare Enrollment ID | O20100602000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043352701 | NPI | - | NPPES |
| 680D745030 | Other | MI | BCBSM PIN |
| 045199 | Other | MI | VALUE OPTIONS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301003173 (Michigan) | Primary |
| Provider Name | Peter Michael Lisiecki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164744983 PECOS PAC ID: 2860521705 Enrollment ID: I20100621000366 |
Mindful Living Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 810 E Grand River Ave Ste 101, Brighton, MI 48116 Phone: 810-588-4236 Fax: 810-588-4247 | |
Brighton Family Center, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10315 Grand River Rd, Suite 104, Brighton, MI 48116 Phone: 810-229-0844 Fax: 734-428-0960 | |
Susan N Evans, Lmsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 792 W Grand River Ave, Brighton, MI 48116 Phone: 810-333-2588 | |
Tapestry Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 854 W Grand River Ave, Brighton, MI 48116 Phone: 810-207-1556 | |
Brighton Neurology, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7305 Grand River Rd, Ste 550, Brighton, MI 48114 Phone: 810-534-5599 Fax: 810-534-5999 | |
Meaningful Life Therapy Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 711 E Grand River Ave Ste A, Brighton, MI 48116 Phone: 269-873-5966 |