Individual
DR. CRISTEN E. HALTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 EAST STATE STREET, SUITE 201, ITHACA, NY 14850-4400
(607) 272-6750
(607) 266-6414
Mailing address
401 E. STATE ST., SUITE 201, ITHACA, NY 14850
(607) 272-6750
(607) 266-6414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006595
NY
Other
Enumeration date
12/12/2006
Last updated
04/24/2012
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