| Doctor Name: | DR. MARIA AMY GARTSTEIN |
| NPI Number: | 1154485936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY00002807 |
| Business Practice Address: | 2301 West A St Suite C Moscow, ID - 838434042 |
| Business Phone Number: | 2088831144 |
| Business Fax Number: | |
| Mailing Address: | 1315 Franklin Rd, MOSCOW |
| State: | ID |
| Postal Code: | 838438208 |
| Phone Number: | 5094323024 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY00002807 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |