Kendall Powers, PSY. S.

Individual provider Active NPI School Psychologist · Holly, MI

NPI 1679205124 · NPPES record last updated Jun 24, 2022

Key facts

NPI
1679205124
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
818 Canyon Creek Dr
Holly, MI 48442-1560
Phone
(248) 891-9195
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

818 Canyon Creek Dr
Holly, MI 48442-1560

Mailing address

818 Canyon Creek Dr
Holly, MI 48442-1560
Phone (248) 891-9195

Other identifiers

IdentifierTypeStateIssuer
SP0000000916726OtherMISCHOOL PSYCHOLOGIST CERTIFICATE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kendall.powers@presencelearning.com Direct

Other providers in Holly, MI

All providers in Holly, MI · School Psychologist in Michigan

Sources for this page

Verify at the official NPI Registry.