Individual
KELLA HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
496 W ANN ARBOR TRL STE 202, PLYMOUTH, MI 48170-6262
(734) 414-1373
Mailing address
5934 EDINBURGH ST APT 104, CANTON, MI 48187-4574
(989) 854-5009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008113
MI
Other
Enumeration date
11/22/2019
Last updated
12/30/2024
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