Individual
DR. ELENA KRISHTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1693 CARMEL CIR EAST, UPLAND, CA 91784-1706
(909) 606-5000
Mailing address
1693 CARMEL CIR E, UPLAND, CA 91784-1707
(909) 606-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21031
CA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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