Individual
DR. KRISTEN ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4778
(601) 984-5420
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1066
(601) 984-6835
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
56994
MS
103TC0700X
Clinical Psychologist
56994
MS
103TH0004X
Health Psychologist
Primary
56994
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07224576
—
MS
Enumeration date
08/18/2016
Last updated
10/27/2016
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