Individual
DR. KATHLEEN ROSS-KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
763 MADISON RD, SUITE 206, CULPEPER, VA 22701-3380
(540) 727-1144
Mailing address
763 MADISON RD, SUITE 206, CULPEPER, VA 22701-3380
(540) 727-1144
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810004382
VA
103TS0200X
School Psychologist
0803000074
VA
Other
Enumeration date
04/17/2007
Last updated
03/07/2011
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