Provider Demographics
NPI:1851008361
Name:COURNOYER, KAITLYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:
Last Name:COURNOYER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:MCKENNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7 DEERHILL DR
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2533
Mailing Address - Country:US
Mailing Address - Phone:401-868-0558
Mailing Address - Fax:
Practice Address - Street 1:400 BALD HILL RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1617
Practice Address - Country:US
Practice Address - Phone:401-349-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist