Individual
DR. CARL JAMES KITTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4316
(607) 664-4320
Mailing address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4316
(607) 664-4320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015593-1
NY
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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