Individual
SHANE RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 MASON ST, DEARBORN, MI 48124-2231
(313) 561-9064
Mailing address
41748 BROQUET DR, NORTHVILLE, MI 48167-2402
(248) 679-6312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010158
MI
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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