Search › Michigan › 101YP2500X
Tyler Blackstock, LLPC. CADC
NPI 1801439112 · on the registry since 2019
Practice
- Address
- 9401 N Haggerty Rd
Plymouth, MI 48170 - Phone
- (734) 845-6010
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan