Organization
LIFESPAN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN BELLONI PH.D. (LICENSE PSYCHOLOGIST)
(469) 664-0070
Entity
Organization
Contact information
Practice address
8668 JOHN HICKMAN PKWY STE 1001, FRISCO, TX 75034-9388
(469) 664-0070
(469) 217-3872
Mailing address
8668 JOHN HICKMAN PKWY STE 1001, FRISCO, TX 75034-9388
(469) 664-0070
(469) 217-3872
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411534701
—
TX
Enumeration date
02/19/2020
Last updated
10/29/2024
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