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Individual

DR. KATHLEEN MARIE WRIGHT-KNOTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
O111421
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100321FC
PREFERRED CARE
NY
01
5922621
AETNA
NY
01
P010011142
BLUE CHOICE
NY
01
P020011142
BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/06/2006
Last updated
05/11/2012
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