| The Slychology Department Llc | |
|
32770 Grand River Ave Ste 206b Farmington Hills MI 48336-3159 | |
| (248) 763-9194 | |
| Not Available |
| Full Name | The Slychology Department Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 32770 Grand River Ave Ste 206b, Farmington Hills, Michigan |
| Authorized Official Name and Position | Ryan Lee Blackstock (OWNER) |
| Authorized Official Contact | 2487639194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Slychology Department Llc 9237 Becker Ave Allen Park MI 48101-1563 Ph: (248) 763-9194 | The Slychology Department Llc 32770 Grand River Ave Ste 206b Farmington Hills MI 48336-3159 Ph: (248) 763-9194 |
| NPI Number | 1609542646 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 09/05/2021 |
| Certification Date | 09/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609542646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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