Individual
DR. KATHLEEN KILEY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20921
CA
103T00000X
Psychologist
Primary
3820
AZ
103TS0200X
School Psychologist
—
AZ
Other
Enumeration date
11/13/2006
Last updated
09/01/2010
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