Individual
DR. KRISTINE KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
124 PINE ST, HARRISBURG, PA 17101-1208
(717) 232-7509
(717) 635-2560
Mailing address
124 PINE ST, HARRISBURG, PA 17101-1208
(717) 232-7509
(717) 635-2560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015065
PA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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