Individual
KAITLYN MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4700
(614) 722-4718
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499158
—
OH
Enumeration date
06/28/2020
Last updated
04/09/2025
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