Individual
KATELYN HENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 JEFFERSON BLVD, WARWICK, RI 02888-3847
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS02306
RI
103TC0700X
Clinical Psychologist
Primary
PSY5000479
MA
Other
Enumeration date
05/01/2018
Last updated
02/14/2025
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