Individual
KAYLA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
2233 TRAVERSE DR, TROY, MI 48083-5951
(248) 245-2450
Mailing address
2233 TRAVERSE DR, TROY, MI 48083-5951
(248) 245-2450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362006858
MI
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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