Individual
KRISTIE A INEICHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
N5683 530TH ST, ELLSWORTH, WI 54011-5111
(763) 257-4655
Mailing address
N5683 530TH ST, ELLSWORTH, WI 54011-5111
(763) 257-4655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4031-57
WI
103TC0700X
Clinical Psychologist
LP5823
MN
Other
Enumeration date
10/09/2014
Last updated
05/01/2024
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