Individual
KAYSEY WANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, EDM, NCSP, LSP
Contact information
Practice address
312 LOCH CT, DAVENPORT, FL 33837-7594
(863) 585-8119
Mailing address
312 LOCH CT, DAVENPORT, FL 33837-7594
(863) 585-8119
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1959
FL
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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