JEFFREY M LAST PHD PLLC NPI 1336445675

NPI Information

JEFFREY M LAST PHD PLLC is a mental health (including community mental health center) clinic center in Southfield, MI. JEFFREY M LAST PHD PLLC NPI is 1336445675. The provider is registered as an organization entity type.

The provider's business location address is:

20300 CIVIC CENTER DR
SUITE 303
SOUTHFIELD, MI
ZIP 48076-105
Phone: (248) 559-5774
Fax: (248) 559-8776

The provider's authorized official is Jeffrey Michael Last .
The authorized official title is Owner and has the following contact phone number (248) 559-5774.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 5/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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