Individual
DR. KIRSTEN MONTGOMERY BETAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
MEDICAL, PCU GHW BUSH CVN77, SUPSHIP NEWPORT NEWS, 4101 WASHINGTON AVE, BLDG 2, NEWPORT NEWS, VA 23607
(757) 534-1645
Mailing address
5300 KINDLEWOOD DR, VIRGINIA BEACH, VA 23455-6611
(757) 831-6246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 19719
CA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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