Individual
DR. KRISTIE L PUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 567-4000
Mailing address
2207 SETTLERS TRL, ORLANDO, FL 32837-6967
(401) 573-3416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS01332
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01332
PROFESSIONAL LICENSE
RI
01
—
PY12309
PROFESSIONAL LICENSE
FL
Enumeration date
08/14/2006
Last updated
03/03/2025
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