Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN LEE BLACKSTOCK, PSY.D., LP
Active Sole ProprietorDR. RYAN LEE BLACKSTOCK, PSY.D., LP is a Psychologist healthcare provider located in BROWNSTOWN TWP, Michigan. NPI 1104014273 is currently active in the NPPES registry. Verify at CMS.
Psychologist · BROWNSTOWN TWP, MI
Registration Details
- NPI Number
- 1104014273
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2007 (18.793445723906 yrs)
- Last Updated
- Aug 27, 2010
- License
-
6301013412 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19366 ALLEN RDSUITE CBROWNSTOWN TWP, MI, 481836809Browse MI providers · Browse ZIP 48183
- Phone
- 7344790949
- Fax
- 7344791637
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in BROWNSTOWN TWP, MI
| Name | Credential | NPI |
|---|---|---|
| DR. KAY VONNE CASON | PHD | 1154594331 |
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.