Individual
DR. MARILYN L KISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 STATE HOSPITAL DR, DANVILLE, PA 17821-9198
(570) 271-4500
(570) 271-4599
Mailing address
200 STATE HOSPITAL DR, DANVILLE, PA 17821-9198
(570) 271-4500
(570) 271-4599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015365
PA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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