Individual
DR. AMY KRAFT MISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203500
CLINICAL LIAISON
AZ
Enumeration date
12/13/2006
Last updated
06/17/2015
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