Whalio Doctors

NPI 1770354359

Katelyn M Kidwell, MARDTLCAT

Practitioner Drama Therapist Bloomfield, NJ

Practice location

Address
680 Bloomfield Ave APT 2, Bloomfield, NJ 07003-4352
Phone
(862) 283-0386

Registered specialties

Drama Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 101200000X Licence 002670-01 (NY)

Registry record

NPI
1770354359
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jan 2024
Record last updated
11 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.