| Doctor Name: | LAITH F. GULLI |
| NPI Number: | 1295792257 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D.,M.SC.,MSA,M.SC. |
| License Number: | 6301011936 |
| Business Practice Address: | 17331 Rainbow Dr. Lathrup Village, MI - 48076 |
| Business Phone Number: | 2485697275 |
| Business Fax Number: | 2488741046 |
| Mailing Address: | 17331 Rainbow Dr, LATHRUP VILLAGE |
| State: | MI |
| Postal Code: | 480764625 |
| Phone Number: | 3132931824 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 09/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301011936 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |