Individual
DR. KAITLYN MARIE GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6020 WARDEN RD STE 210, SHERWOOD, AR 72120-6015
(501) 537-1388
Mailing address
3480 E KIEHL AVE APT 8001, SHERWOOD, AR 72120-3562
(847) 209-7711
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
276735
KY
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
11/02/2020
Last updated
07/13/2022
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