Individual
KAITLIN BETH COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
126 W RUSH ST, KENDALLVILLE, IN 46755-1740
(260) 347-2502
Mailing address
126 W RUSH ST, KENDALLVILLE, IN 46755-1740
(260) 347-2502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5317
NC
103TS0200X
School Psychologist
Primary
10243827
IN
103TS0200X
School Psychologist
5317
NC
Other
Enumeration date
03/06/2018
Last updated
01/03/2025
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