Individual
ELLEN KLINEDINST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA EDS
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10050578
IN
103TS0200X
School Psychologist
SP0000000888151
MI
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
Update your record
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