Individual
DR. MICHELE MARIE CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5450 FAR HILLS AVE, KETTERING, OH 45429-2386
(937) 554-7156
Mailing address
5450 FAR HILLS AVE, KETTERING, OH 45429-2386
(937) 554-7156
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2583
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334785
—
OH
Enumeration date
08/31/2006
Last updated
03/26/2009
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