NPI 1407428675

Kylayha D Jefferson

Practitioner Psychologist Fenton, MI

Practice location

Address: 4036 Bennett Lake Rd APT Suite, Fenton, MI 48430-8709
Phone: (810) 877-5919
Mailing address: 17940 Farmington Rd STE 302, Livonia, MI 48152-3159

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 6362009617 (MI)

Other Psychologist providers in Michigan →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1407428675
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2021
Record last updated: 30 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.