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General NPI Number Information
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NPI Number | 1750721411
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Entity Type | Organization
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Legal Business Name | SHANNON CRANSTON PLLC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 1286 S LINDEN RD STE B
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City | FLINT
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State | MI
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Zip | 48532-3457
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Country | US
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Telephone | 810-407-7403
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Fax | 884-782-3808
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Provider Business Mailing Address
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Address Line | 1286 S LINDEN RD STE B
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City | FLINT
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State | MI
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Zip | 48532-3457
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Country | US
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Telephone | 810-407-7403
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Fax | 888-478-2380
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. SHANNON LYNN CRANSTON
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Credential | PSYD, LP
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Telephone | 810-516-7251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301014638
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License Number State | MI
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