Individual provider · Type 1 NPI

Jessica Leigh Elezi, MA, TLLP

Student in an Organized Health Care Education/Training Program · Farmington Hills, MI

NPI number 1669365102 Active

Practice location

25882 Orchard Lake Rd Ste L-8
Farmington Hills, MI 48336-1269

Call (313) 444-2630 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X6352000781 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Clinical Child & Adolescent Psychologist 103TC2200X6352000781 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669365102

Jessica Leigh Elezi, MA, TLLP's National Provider Identifier is 1669365102, issued on Jun 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington Hills, MI. The record was last updated on Oct 12, 2026.