Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kelly Jean Mahla, LLP, PTA

Individual provider Clinical Psychologist · NPI 1356551824

Miss. Kelly Jean Mahla, LLP, PTA is a Clinical Psychologist in Macomb, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

55753 Serene Dr
Macomb, MI 48042-6164
Phone: (586) 216-3815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301013552 (MI)

Record details

NPI number1356551824
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLP , PTA
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESNovember 19, 2012

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