Individual
DR. KRISTIN DEZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
141 BETH LN APT 264, MELBOURNE, FL 32904-5044
(585) 697-4143
Mailing address
135 WESTWAY APT 204, GREENBELT, MD 20770-1939
(585) 697-4143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9754
FL
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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