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Individual

KAYLA ENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103658-875
WI
103T00000X
Psychologist
14272867-2501
UT
103T00000X
Psychologist
5549-57
WI
103T00000X
Psychologist
Primary
PSY0006748
CO

Other

Enumeration date
06/14/2017
Last updated
05/21/2026
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