Name: THE SLYCHOLOGY DEPARTMENT LLC Specialty: Adult Mental Health Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Adult Mental Health. Definition of Specialty: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: THE SLYCHOLOGY DEPARTMENT LLC,32770 GRAND RIVER AVE STE 206B,FARMINGTON HILLS,MI,483363159,US Mailing Address: THE SLYCHOLOGY DEPARTMENT LLC,9237 BECKER AVE,ALLEN PARK,MI,481011563,US
Practice location phone #: 2487639194 Practice location fax #: Mailing address Phone #: 2487639194 Mailing Address fax #: Authorized official Name/Telephone #:DR., RYAN, LEE, BLACKSTOCK, PSY.D, OWNER 2487639194
Date NPI was obtained: 08/19/2021 Last data data was updated: 09/05/2021 Insurances: