Individual
MARTHA A KITZROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
106 E 3RD ST STE 6, MOSCOW, ID 83843-2970
(208) 883-1842
(208) 885-4354
Mailing address
106 E 3RD ST STE 6, MOSCOW, ID 83843-2970
(208) 883-1842
(208) 885-4354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
255
ID
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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