Individual
KRISTEN WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 596-5780
(304) 596-5781
Mailing address
2004 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 596-5780
(304) 596-5781
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1229
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/22/2017
Last updated
10/21/2021
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