National Provider Identifier
Carl James Kittleson, PSY.D.
Carl James Kittleson, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Bath, NY and a listed phone number of (607) 664-4316.
Profile Overview
- NPI
- 1609831304
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- April 18, 2006
- Last Updated
- July 08, 2007
Practice Location
- 76 Veterans Ave
- Bath, NY 14810-0810
Phone: (607) 664-4316
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1609831304
- Entity Type
- Individual
- Last Name
- Kittleson
- First Name
- Carl
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Provider Other Last Name
- Kittleson
- Provider Other First Name
- Jim
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 76 Veterans Ave
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-0810
- Mailing Country
- US
- Mailing Phone
- (607) 664-4316
- Mailing Fax
- (607) 664-4320
- Practice Street Address
- 76 Veterans Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-0810
- Practice Country
- US
- Practice Phone
- (607) 664-4316
- Practice Fax
- (607) 664-4320
- Enumeration Date
- April 18, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)