Blackstock, Ryan Lee
Blackstock, Ryan Lee is an sole proprietor health care provider with primary practice located at 19366 Allen Rd Suite C, Brownstown Twp MI 48183-6809. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blackstock, Ryan Lee can be contacted via phone (734) 479-0949.Contact Information
Primary practice address
19366 Allen Rd Suite C
Brownstown Twp MI 48183-6809
Phone: (734) 479-0949
Fax: (734) 479-1637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301013412 | Michigan |
Profile Details
| NPI number | 1104014273 |
|---|---|
| LBN Legal business name | Blackstock, Ryan Lee |
| Credentials | PSY.D., LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2007 |
| Last updated | Aug 27th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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