Individual
KRISTEN KOCHANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MSCP
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-1919
Mailing address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-1919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.010578
IL
103TC0700X
Clinical Psychologist
0810005106
VA
103TP0016X
Prescribing (Medical) Psychologist
Primary
074.000009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.010578
LICENSED CLINICAL PSYCHOLOGIST
IL
01
—
074.000009
LICENSED PRESCRIBING PSYCHOLOGIST
IL
Enumeration date
09/29/2014
Last updated
01/17/2025
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