Individual
DR. SHANNON MARIE CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LLP
Contact information
Practice address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
Mailing address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6301013644
—
MI
Enumeration date
09/14/2006
Last updated
02/25/2008
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