Individual provider · Type 1 NPI

Jessica Anne Fagan, TLLP

Psychologist · Taylor, MI

NPI number 1154955656 Active

Practice location

20300 Superior Rd Ste 250
Taylor, MI 48180-6342

Call (734) 785-7700 Map

Mailing address

20300 Superior Rd Ste 200
Taylor, MI 48180-6303

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6362010152 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1154955656

Jessica Anne Fagan, TLLP's National Provider Identifier is 1154955656, issued on Feb 24, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Taylor, MI. The record was last updated on Jun 3, 2025.