| Doctor Name: | KELLY JEAN SAVAGE |
| NPI Number: | 1801139134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LLP |
| License Number: | 6301012347 |
| Business Practice Address: | 1350 E West Maple Rd Suite 2 Walled Lake, MI - 483903727 |
| Business Phone Number: | 2486248181 |
| Business Fax Number: | |
| Mailing Address: | 1350 E West Maple Rd, Suite 2 WALLED LAKE |
| State: | MI |
| Postal Code: | 483903727 |
| Phone Number: | 2486248181 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2013 |
| NPI Last Update Date: | 04/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | 6301012347 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |