Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Jane Gazda, PHD

Individual provider Psychologist · NPI 1639259674

Dr. Mary Jane Gazda, PHD is a Clinical Psychologist in Clinton Twp, Michigan. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

37211 Harper Ave Ste 3A
Clinton Twp, MI 48036-3001
Phone: (586) 466-7173
Fax: (586) 741-0145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301010567 (MI)

Record details

NPI number1639259674
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 16, 2006
Last updated in NPPESDecember 12, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Twp