| NPI | 1740635655 |
|---|---|
| Doing Business As | KATELYN'S PLACE PSYCHOLOGY AND AUTISM SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOSHUA SMITH Owner 502-303-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X (Licence: IN 20042771A) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-08-15 |