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Individual

MRS. KATHLEEN ANN BRETZIUS-HURWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
G61204
CA
208000000X
Pediatrics Physician
Primary
G61204
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
G61204
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G61204
STATE LICENSE
CA
Enumeration date
11/16/2006
Last updated
03/28/2018
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