| Kristine Theodora Kingsley | |
|
173 Huguenot St Ste 200 New Rochelle NY 10801-7710 | |
| (917) 716-6995 | |
| Not Available |
| Full Name | Kristine Theodora Kingsley |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 173 Huguenot St Ste 200, New Rochelle, New York |
| Authorized Official Name and Position | Kristine Theodora Kingsley (OWNER) |
| Authorized Official Contact | 9177166995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Theodora Kingsley 173 Huguenot St Ste 200 New Rochelle NY 10801-7710 Ph: (917) 716-6995 | Kristine Theodora Kingsley 173 Huguenot St Ste 200 New Rochelle NY 10801-7710 Ph: (917) 716-6995 |
| NPI Number | 1720609472 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720609472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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