Carl James Kittleson in Bath - Clinical
Carl James Kittleson - NPI 1609831304
Carl James Kittleson is a Clinical in Bath, New York. Carl James Kittleson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carl James Kittleson is 1609831304. The last update date is 2007-07-08.
Carl James Kittleson's current location address is 76 Veterans Ave, Bath, New York. You can contact this provider via phone number 6076644316 and fax number 6076644320. The mailing address for Carl James Kittleson is 76 Veterans Ave, Bath, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl James Kittleson |
|---|---|
| Address | 76 Veterans Ave, Bath, New York |
| Phone Number | 6076644316 |
| Fax Number | 6076644320 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1609831304 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 76 Veterans Ave |
|---|---|
| City | Bath |
| State | New York (NY) |
| Post Code | 148100810 |
| Phone Number | 6076644316 |
| Fax Number | 6076644320 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 015593-1 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Carl James Kittleson's unique identification number?
The Carl James Kittleson has been assigned the NPI (National Provider Identifier) Number 1609831304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Carl James Kittleson located?
The Carl James Kittleson is located at 76 Veterans Ave, Bath, NY 148100810.
What is Carl James Kittleson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carl James Kittleson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Carl James Kittleson receive the assignment of its 1609831304 from the Centers for Medicare & Medicaid Services?
The Carl James Kittleson was issued its 1609831304 by the Centers for Medicare & Medicaid Services on 2006-04-18.
As of what date were the details pertaining to Carl James Kittleson last refreshed?
The information related to the Carl James Kittleson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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