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

Individual provider Psychologist · NPI 1518576073

Jennifer Ishaq, PSYMA is a Psychologist in Troy, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Phone: (248) 862-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3500 Carnegie Ave, Cleveland, OH 44115-2641 — (440) 260-8300

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6362009337 (MI)

Record details

NPI number1518576073
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYMA
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

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