| Dr Ryan Lee Blackstock, PSYD, LP | |
|
19366 Allen Rd, Suite C, Brownstown Twp, MI 48183-6809 | |
| (734) 479-0949 | |
| (734) 479-1637 |
| Full Name | Dr Ryan Lee Blackstock |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 19366 Allen Rd, Brownstown Twp, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301013412 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Lee Blackstock, PSYD, LP 9237 Becker Ave, Allen Park, MI 48101-1563 Ph: (248) 763-9194 | Dr Ryan Lee Blackstock, PSYD, LP 19366 Allen Rd, Suite C, Brownstown Twp, MI 48183-6809 Ph: (734) 479-0949 |
Dr. Kay Vonne Cason, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19366 Allen Rd Ste D, Brownstown Twp, MI 48183 Phone: 734-785-8128 Fax: 734-785-8138 | |
Ms. Karin Chaundy, M.A., L.L.P Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19366 Allen Rd, Suite C, Brownstown Twp, MI 48183 Phone: 734-479-0949 Fax: 734-479-1637 |