Individual
KAITLYN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 FREEDOM BUSINESS CTR DR STE 100, KING OF PRUSSIA, PA 19406-1329
(484) 224-7913
Mailing address
1701 FAIRMOUNT AVE APT 301, PHILADELPHIA, PA 19130-2983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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