Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Martin Ellison, MSLLP

Individual provider Clinical Psychologist · NPI 1710360573

Grant Martin Ellison, MSLLP is a Clinical Psychologist in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

5340 Plymouth Rd Ste 202
Ann Arbor, MI 48105-9341
Phone: (734) 462-3210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6361005291 (MI)

Record details

NPI number1710360573
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLLP
Sole proprietorYes
NPI enumeratedJune 29, 2015
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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