Individual
DR. KRISTA LYN KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3030 CHILDRENS WAY, SAN DIEGO, CA 92123-4232
(858) 966-8974
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
089469
IA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY33601
CA
Other
Enumeration date
09/13/2010
Last updated
09/15/2022
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