| Shannon Cranston Pllc | |
|
1140 S Linden Rd Flint MI 48532-3437 | |
| (810) 516-7251 | |
| (810) 732-3919 |
| Full Name | Shannon Cranston Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1140 S Linden Rd, Flint, Michigan |
| Authorized Official Name and Position | Shannon Lynn Cranston (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8105167251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Cranston Pllc 11222 Coldwater Rd Flushing MI 48433-9748 Ph: (810) 516-7251 | Shannon Cranston Pllc 1140 S Linden Rd Flint MI 48532-3437 Ph: (810) 516-7251 |
| NPI Number | 1750721411 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 06/26/2013 |
| Medicare PECOS PAC ID | 4486896255 |
|---|---|
| Medicare Enrollment ID | O20130807000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750721411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301014638 (Michigan) | Primary |
| Provider Name | Shannon L Cranston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962628404 PECOS PAC ID: 7911149786 Enrollment ID: I20130807000061 |
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