Individual
DR. KRISTINE L. AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
11024 N 28TH DR, 290, PHOENIX, AZ 85029-4377
(623) 455-9189
(623) 455-9189
Mailing address
11024 N 28TH DR, 290, PHOENIX, AZ 85029-4377
(623) 455-9189
(623) 455-9189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3748
AZ
Other
Enumeration date
02/15/2007
Last updated
05/25/2010
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