NPI 1083904684

Kristin Page, LMHC

Practitioner Psychoanalyst Crestview, FL

Practice location

Address: 259 E Oakdale Ave, Crestview, FL 32539-3547
Phone: (850) 226-2308
Fax: (850) 689-8799

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence MH12069 (FL)

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Registry record

NPI: 1083904684
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2011
Record last updated: 28 Oct 2013

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.