Individual
BETTINA KANITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4080 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4018
(703) 246-3457
(703) 273-9074
Mailing address
4080 CHAIN BRIDGE ROAD, FAIRFAX, VA 22030
(703) 246-3457
(703) 273-9074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000303
VA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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