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

Katelyn Marie-Fernandez Gardner, TLLP

Individual provider Psychologist · NPI 1720646243

Katelyn Marie-Fernandez Gardner, TLLP is a Psychologist in Troy, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Phone: (248) 613-5377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 14478193 (MI)

Record details

NPI number1720646243
Entity typeIndividual (Type 1)
GenderFemale
Credentials TLLP
Sole proprietorYes
NPI enumeratedMay 30, 2019
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

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