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Individual

DR. KRISTIN M KRONSNOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 251-8017
(813) 251-0096
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 251-8017
(813) 251-0096

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5454
FL
103TC0700X
Clinical Psychologist
PY5454
FL
103TH0100X
Health Service Psychologist
PSY002071
GA
103TH0100X
Health Service Psychologist
PY5454
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212084400
FL
Enumeration date
05/23/2005
Last updated
06/11/2021
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