Individual
KRISTEN CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3333 BURNET AVE ML 3015, CINCINNATI, OH 45229
(513) 636-4336
(513) 636-7756
Mailing address
3333 BURNET AVE ML 3015, CINCINNATI, OH 45229
(513) 636-4336
(513) 636-7756
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08305
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2018
Last updated
08/31/2022
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