Individual
DR. KRISTEN ELAINE HOLDERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1175 PITTSFORD VICTOR RD, SUITE 100, PITTSFORD, NY 14534-3811
(585) 797-7084
(844) 626-2450
Mailing address
1175 PITTSFORD VICTOR RD, SUITE 100, PITTSFORD, NY 14534-3811
(585) 797-7084
(844) 626-2450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016808
NY
103T00000X
Psychologist
16808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18954FC
PREFERRED CARE
NY
01
—
7161860
AETNA
NY
01
—
P010016808
EXCELLUS ROCHESTER REGION
NY
Enumeration date
11/03/2006
Last updated
07/05/2023
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