Provider Demographics
NPI:1356934129
Name:WATERS, KAITLYN (LMFT)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:WATERS
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 NEWTOWN YARDLEY RD STE 2D
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1739
Mailing Address - Country:US
Mailing Address - Phone:215-608-0227
Mailing Address - Fax:
Practice Address - Street 1:638 NEWTOWN YARDLEY RD STE 2D
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1739
Practice Address - Country:US
Practice Address - Phone:215-608-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-12
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty