| NPI | 1750721411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LYNN CRANSTON Licensed Psychologist 810-516-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014638) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-04-15 |