Organization
KRISTY M FORARE PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTY MILLER FORARE PSY.D. (PRESIDENT)
(386) 943-9040
Entity
Organization
Contact information
Practice address
1109 W EUCLID AVE, DELAND, FL 32720-6553
(386) 943-9040
(386) 943-9937
Mailing address
1109 W EUCLID AVE, DELAND, FL 32720-6553
(386) 943-9040
(386) 943-9937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7031
FL
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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