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Individual

KRYSTIN COLDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 569-1382
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 569-1382

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60143251
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/19/2006
Last updated
03/02/2011
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