Individual
KRISTEN NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 N 15TH ST STE 100, PHOENIX, AZ 85020-4330
(602) 704-2345
Mailing address
7600 N 15TH ST STE 100, PHOENIX, AZ 85020-4330
(602) 704-2345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005563
AZ
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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