Maria Amy Gartstein, PH.D.
Individual provider Active NPI Clinical Psychologist · Moscow, ID
NPI 1154485936 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154485936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY00002807 (WA)
- Practice address
- 2301 West a St
Suite C
Moscow, ID 83843-4042 - Phone
- (208) 883-1144
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002807 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Educational and Psychological Services, a P.L.L.C. | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002807 | WA | Yes |
Addresses
Primary practice location
2301 West a St
Suite C
Moscow, ID 83843-4042
Mailing address
1315 Franklin Rd
Moscow, ID 83843-8208
Phone (509) 432-3024
Other providers in Moscow, ID
- Brandon Garfield
- Katelyn Garfield
- Chelsea Garland
- James Wilmer Garrett
- Nicholas Garrett
- James Gabriel Gaytan
- Ramona Sue Geidl
- Richard Lee George
- Debra Germer
- Lacey Dawn Gettings
All providers in Moscow, ID · Clinical Psychologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.