Individual
DR. LAURA LITYNSKI VITENCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
205 STATELINE RD, KINGS BEACH, CA 96143
(805) 206-4684
Mailing address
PO BOX 1201, KINGS BEACH, CA 96143-1201
(805) 206-4684
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY34830
CA
Other
Enumeration date
04/01/2024
Last updated
04/09/2024
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