Jessica Anne Fagan, TLLP

NPI #1154955656 in Taylor, Michigan

Provider Information

NPI Number: 1154955656
Entity Type: Individual
Name: Jessica Anne Fagan, TLLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: TLLP
Enumeration Date: Feb 24, 2020
Last Updated: Jun 3, 2025

Practice Location

Address: 20300 SUPERIOR RD STE 250
City: Taylor
State: Michigan
ZIP Code: 48180-6342
Phone: (734) 785-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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