| Kristin P. Girardot, Ph.d, Llc | |
|
500 N Maitland Ave Suite 110 Maitland FL 32751-4482 | |
| (407) 808-7852 | |
| Not Available |
| Full Name | Kristin P. Girardot, Ph.d, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 500 N Maitland Ave, Maitland, Florida |
| Authorized Official Name and Position | Kristin P. Girardot (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4078087852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin P. Girardot, Ph.d, Llc Po Box 547878 Orlando FL 32854-7878 Ph: (407) 808-7852 | Kristin P. Girardot, Ph.d, Llc 500 N Maitland Ave Suite 110 Maitland FL 32751-4482 Ph: (407) 808-7852 |
| NPI Number | 1972807527 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 12/22/2010 |
| Medicare PECOS PAC ID | 2769668045 |
|---|---|
| Medicare Enrollment ID | O20110523000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972807527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristin Patrice Girardot |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023327459 PECOS PAC ID: 5294911574 Enrollment ID: I20110523000096 |
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