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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE THEODORAKAKOS

Active Sole Proprietor

LESLIE THEODORAKAKOS is a School Psychologist healthcare provider located in CANTON, Michigan. NPI 1215530779 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · CANTON, MI

Registration Details

NPI Number
1215530779
Provider Type
Individual
Gender
Female
NPI Issued
Nov 18, 2020 (5.6981365478648 yrs)
Last Updated
Nov 18, 2020
Sole Proprietor
Yes

Practice Information

Address
41716 SANCTUARY LN
CANTON, MI, 481884007
Browse MI providers · Browse ZIP 48188
Phone
7349050026
Primary Specialty
School Psychologist
103TS0200X

Other School Psychologist Providers in CANTON, MI

Name Credential NPI
MS. ANNE STEFFEN ED.S 1437920980
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.