Individual
KENDALL POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. S.
Contact information
Practice address
818 CANYON CREEK DR, HOLLY, MI 48442-1560
(248) 891-9195
Mailing address
818 CANYON CREEK DR, HOLLY, MI 48442-1560
(248) 891-9195
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0000000916726
SCHOOL PSYCHOLOGIST CERTIFICATE
MI
Enumeration date
06/24/2022
Last updated
06/24/2022
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