Individual
KAITLYN GAMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2205 COMMONWEALTH BLVD, ANN ARBOR, MI 48105-2970
(734) 936-7175
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1691
SC
103TC0700X
Clinical Psychologist
Primary
6301019756
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0720
—
SC
Enumeration date
07/30/2021
Last updated
12/17/2025
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