Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATELYN MARIE-FERNANDEZ GARDNER, TLLP
Active Sole ProprietorKATELYN MARIE-FERNANDEZ GARDNER, TLLP is a Psychologist healthcare provider located in TROY, Michigan. NPI 1720646243 is currently active in the NPPES registry. Verify at CMS.
Psychologist · TROY, MI
Registration Details
- NPI Number
- 1720646243
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2019 (7.1992416976267 yrs)
- Last Updated
- Nov 24, 2020
- License
-
14478193 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1777 AXTELL DR STE 100TROY, MI, 480844400Browse MI providers · Browse ZIP 48084
- Phone
- 2486135377
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in TROY, MI
| Name | Credential | NPI |
|---|---|---|
| GEORGIA MICHALOPOULOU | PHD | 1164460895 |
| DR. WILLIAM BLOOM | PHD | 1083627947 |
| NATHAN MARC STONE | MA TLLP | 1386753366 |
| MS. PAMELA JEAN DSOUZA | PHD | 1154432813 |
| MS. KATHLEEN WEEKS MIELKE | M.S.,M.A. | 1003989286 |
| MRS. JULIENNE DAVIDGE FISH | M.A, L.L.P | 1679630222 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.