Individual provider · Type 1 NPI
Jennifer Kessie Doyle, M.S., L.L.P
Intellectual & Developmental Disabilities Psychologist · Southgate, MI
NPI number
1245597905
Active
Practice location
19401 Northline Rd
Southgate, MI 48195-2277
Fax (734) 287-2074
Mailing address
2671 Brooklyn Dr
Ypsilanti, MI 48198-1027
Other practice locations
- 13101 Allen Rd, Southgate, MI 48195-2216 · (734) 785-7700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 6301015017 (MI) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 6301015017 (MI) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1245597905
Jennifer Kessie Doyle, M.S., L.L.P's National Provider Identifier is 1245597905, issued on Apr 19, 2012. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Southgate, MI. The record was last updated on Jul 22, 2019.