Individual provider · Type 1 NPI
Philip Charles Liethen, PhD
Clinical Neuropsychologist · Fort Gratiot, MI
Practice location
2616 Whitney Pl
Fort Gratiot, MI 48059-3952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 3063 (MI) |
| Clinical Neuropsychologist | 103G00000X | 2082 (WI) |
Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
About NPI 1689659526
Philip Charles Liethen, PhD's National Provider Identifier is 1689659526, issued on Dec 14, 2005. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Fort Gratiot, MI. The record was last updated on Jul 13, 2026.