Individual
MARIN MICHELLE KAUTZ
Active
Individual
MARIN MICHELLE KAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
AA0004861968
PA
103TC2200X
Clinical Child & Adolescent Psychologist
AA0004861968
PA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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