Healthcare Provider Details

I. General information

NPI: 1285911792
Provider Name (Legal Business Name): CHRISTIN L LETT LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2011
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7077 FIELDCREST DR STE 201
BRIGHTON MI
48116-8396
US

IV. Provider business mailing address

7077 FIELDCREST DR STE 201
BRIGHTON MI
48116-8396
US

V. Phone/Fax

Practice location:
  • Phone: 810-279-0526
  • Fax: 810-225-8333
Mailing address:
  • Phone: 810-279-0526
  • Fax: 810-225-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6361003517
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: