Individual
DR. KIRISTIN EGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
986 FOSTORIA DR, MELBOURNE, FL 32940-1512
(321) 307-0083
Mailing address
986 FOSTORIA DR, MELBOURNE, FL 32940-1512
(321) 307-0083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5309
LICENSE
FL
Enumeration date
04/30/2020
Last updated
04/30/2020
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