Individual
DR. JOANNE STRADE KITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
901 PRESTON AVENUE, STE 202F, CHARLOTTESVILLE, VA 22903-4491
(434) 979-7755
Mailing address
901 PRESTON AVENUE, STE 202F, CHARLOTTESVILLE, VA 22903-4491
(434) 979-7755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001636
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084089
SOUTHERN HEALTH
—
01
—
091394
ANTHEM BCBS
—
05
—
7758456
—
VA
Enumeration date
07/30/2006
Last updated
07/08/2007
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