Leanne M Black – Clinical Psychologist in Durand, MI

Key facts

NPI: 1922513373
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: 6362001412 (MI)
Practice address: 12183 W Grand Blanc Rd
Durand, MI 48429-9308
Phone: (989) 737-9442
NPI assigned: Dec 7, 2017
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Shannon Cranston PLLC Clinical Psychologist · Flint, MI · NPI 1750721411

NPD (past) CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
6362001412	MI	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Shannon Cranston PLLC	Clinical	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Clinical Psychologist	103TC0700X	6362001412	MI	Yes

Addresses

Primary practice location

12183 W Grand Blanc Rd
Durand, MI 48429-9308

Mailing address

12183 W Grand Blanc Rd
Durand, MI 48429-9308
Phone (989) 737-9442

Other practice location 1

424 W Woodruff Ave
Toledo, OH 43604-5027
Phone (419) 841-7701

Other providers in Durand, MI

All providers in Durand, MI · Clinical Psychologist in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.