Individual
KAITLIN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6623 SUMMIT RD SW, PATASKALA, OH 43062-8768
(740) 964-1674
Mailing address
4091 CLIFTON PARK CIR W APT 304, NEW ALBANY, OH 43054-1160
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LSP.01939
OH
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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