Individual
DR. MARTHA JANE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5605 CEDAR CREEK VW, SUITE 101, COLORADO SPRINGS, CO 80915-5026
(719) 243-9771
Mailing address
5605 CEDAR CREEK VW, SUITE 101, COLORADO SPRINGS, CO 80915-5026
(719) 243-9771
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1097
NC
103T00000X
Psychologist
Primary
PSY0003901
CO
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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