| Leah Terian, PHD | |
| 
					50 N Perry St, Pontiac, MI 48342-2217  | |
| (248) 338-5833 | |
| Not Available | 
| Full Name | Leah Terian | 
|---|---|
| Gender | Female | 
| Speciality | Psychologist | 
| Location | 50 N Perry St, Pontiac, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649681313 | NPI | - | NPPES | 
| 6301015566 | Other | MI | PSYCHOLOGY LICENSE # | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103T00000X | Psychologist | 6301015566 (Michigan) | Primary | 
| Entity Name | Ascension Eastwood Behavioral Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572  | 
| Entity Name | Advanced Psychiatric Services Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306252531 PECOS PAC ID: 8022234806 Enrollment ID: O20140731001141  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Leah Terian, PHD 50 N Perry St, Pontiac, MI 48342-2217 Ph: () -  | Leah Terian, PHD 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5833  | 
Ms. Theresa Jeanne Miller, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201  | |
Dr. Christopher T Corbin, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-334-0947  | |
Alice Michelle Monte, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201  | |
Dr. Melissa Mandl-mase, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Suite 100, Pontiac, MI 48341 Phone: 248-456-1991  | |
Antwan Croom,  Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1841 N Perry St, Pontiac, MI 48340 Phone: 248-745-4900  | |
Christine Greb, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3999 Centerpoint Pkwy Ste 111, Pontiac, MI 48341 Phone: 248-762-6913  | |
Dr. Kelly Kling-selander, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave Ste 405, Pontiac, MI 48341 Phone: 248-335-4010  |