Individual
DR. KRISTI MONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
(228) 300-8819
Mailing address
24505 MARE POINT DR, PASS CHRISTIAN, MS 39571-3302
(228) 563-4006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
591034
MS
103TC0700X
Clinical Psychologist
591034
MS
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09789002
—
MS
Enumeration date
05/14/2019
Last updated
12/08/2020
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