Individual
MR. KEVIN MOSES WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S
Contact information
Practice address
522 WALLACE AVE, INDIANAPOLIS, IN 46201-2926
(317) 226-4000
Mailing address
522 WALLACE AVE, INDIANAPOLIS, IN 46201-2926
(317) 226-4000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10188121
IN
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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