Healthcare Provider Details

I. General information

NPI: 1790661031
Provider Name (Legal Business Name): KAMRYN DAULTON ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 HIGHLAND AVE
WSHNGTN CT HS OH
43160-1819
US

IV. Provider business mailing address

10756 CONNELL RD
HILLSBORO OH
45133-6927
US

V. Phone/Fax

Practice location:
  • Phone: 740-335-6620
  • Fax:
Mailing address:
  • Phone: 937-409-8424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.03157
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: