Individual
KAITLIN KODAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 7TH AVE STE M1, NEW YORK, NY 10018-4878
(844) 415-4592
Mailing address
700 COCOANUT AVE UNIT 134, SARASOTA, FL 34236-4938
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
537445
MA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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