Individual
DR. KRISTA J DIVITTORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
10612
MA
103TC0700X
Clinical Psychologist
1742
HI
103TC0700X
Clinical Psychologist
MSPSY.0000004
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0006288
CO
103TC0700X
Clinical Psychologist
PY60980309
WA
Other
Enumeration date
07/21/2017
Last updated
11/30/2023
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