Organization
JEAN L KRISTELLER PH D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LORRAINE KRISTELLER PH D, LCP (OWNER)
(812) 877-3760
Entity
Organization
Contact information
Practice address
THE MAPLE CENTER ATTN: JEAN KRISTELLER, 1801 N 6TH ST STE 600, TERRE HAUTE, IN 47804-4047
(812) 240-5790
Mailing address
4435 LANCASHIRE CT, TERRE HAUTE, IN 47803-2092
(812) 877-3760
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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