Individual provider · Type 1 NPI

Kathleen Gail Ivanoff, MA, TLLP

Psychologist · Plymouth, MI

NPI number 1902160435 Active

Practice location

496 W Ann Arbor Trl, Suite 202
Plymouth, MI 48170-6262

Call (248) 613-5377 Map

Mailing address

2403 Crystal Dr
Ann Arbor, MI 48108-1111

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301014954 (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 1902160435

Kathleen Gail Ivanoff, MA, TLLP's National Provider Identifier is 1902160435, issued on Jun 29, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Plymouth, MI. The record was last updated on Jun 29, 2012.