Individual
MS. LYNN ANN KRIVDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 E MONTECITO AVE, PHOENIX, AZ 85014-4322
(602) 707-2511
(602) 707-2040
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2511
(602) 707-2040
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685555
—
AZ
Enumeration date
02/07/2007
Last updated
07/26/2007
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