Individual
DR. KRISTINA J RASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3700 W LIBERTY RD, ANN ARBOR, MI 48103-9056
(734) 426-0032
(734) 426-0034
Mailing address
3700 W LIBERTY RD, ANN ARBOR, MI 48103-9056
(734) 426-0032
(734) 426-0034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810002677
VA
103TC0700X
Clinical Psychologist
Primary
6301016641
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007710321
—
VA
01
—
253567
ANTHEM
VA
Enumeration date
05/08/2006
Last updated
03/02/2021
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