Organization
KRIETSCH & DAISS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY E KRIETSCH PHD (PRESIDENT)
(928) 779-4286
Entity
Organization
Contact information
Practice address
1030 N SAN FRANCISCO ST, SUITE 210, FLAGSTAFF, AZ 86001-3262
(928) 779-4286
(928) 774-1148
Mailing address
1030 N SAN FRANCISCO ST, SUITE 210, FLAGSTAFF, AZ 86001-3262
(928) 779-4286
(928) 774-1148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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