Individual
KATELYN MARIE ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., TLLP
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008180
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/08/2019
Last updated
09/06/2025
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