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Individual

DR. KRISTINE T. KINGSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
60 E 42ND ST, SUITE 4600, NEW YORK, NY 10165-0006
(917) 716-6995
Mailing address
400 E 34TH ST, RR 315, NEW YORK, NY 10016-4901
(212) 263-6177

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014708-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A300037950
PTAN
NY
Enumeration date
03/09/2007
Last updated
06/06/2011
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