Individual
BARBARA RACHEL KISTENMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1046 POND NECK RD, EARLEVILLE, MD 21919-2342
(917) 669-7938
Mailing address
1046 POND NECK RD, EARLEVILLE, MD 21919-2342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014965
NY
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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