Dr Krista Nicole Poulsen-soria, PHD is a
Specialist based in Watsonville, California. Dr Krista Nicole Poulsen-soria is licensed to practice in California (license number PSY20116) and her current practice location is
54 Penny Ln, Suite B, Watsonville, California. She can be reached at her office (for appointments etc.) via phone at
(831) 728-2040.
NPI number for Dr Krista Nicole Poulsen-soria is 1497876890 and her current mailing address is 54 Penny Ln, Suite B, Watsonville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497876890.
Healthcare Provider's Profile
Full Name | Dr Krista Nicole Poulsen-soria |
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Gender | Female |
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Speciality | Specialist |
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Location | 54 Penny Ln, Watsonville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497876890
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Krista Nicole Poulsen-soria such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497876890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY20116 (California) | Primary |
174400000X | Specialist | PSY20116 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Krista Nicole Poulsen-soria is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Krista Nicole Poulsen-soria, PHD 54 Penny Ln, Suite B, Watsonville, CA 95076-6012 Ph: (831) 728-2040 | Dr Krista Nicole Poulsen-soria, PHD 54 Penny Ln, Suite B, Watsonville, CA 95076-6012 Ph: (831) 728-2040 |
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