Individual
DR. JEAN L. KRISTELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4435 LANCASHIRE CT, TERRE HAUTE, IN 47803-2092
(812) 877-3760
Mailing address
PSYCHOLOGY DEPARTMENT, INDIANA STATE UNIVERSITY, TERRE HAUTE, IN 47809-0001
(812) 237-2467
(812) 237-4378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040676A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200280980
—
IN
Enumeration date
11/21/2006
Last updated
02/07/2022
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