NPI 1114162070

Kristy M Forare PSYD LLC

Organisation Clinical Psychologist Deland, FL

Practice location

Address: 1109 W Euclid Ave, Deland, FL 32720-6553
Phone: (386) 943-9040
Fax: (386) 943-9937

Authorised official

Name: Kristy Miller Forare
Title: President
Phone: (386) 943-9040

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY7031 (FL)

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Registry record

NPI: 1114162070
Entity type: Organization
NPI issued: 8 Dec 2008
Record last updated: 8 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.