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Individual

DR. JANE LOIS KRISTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
33 SUNSET AVE, AMHERST, MA 01002
(413) 549-4544
(802) 228-4604
Mailing address
33 SUNSET AVE, AMHERST, MA 01002
(413) 549-4544
(802) 228-4604

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2294
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062966000
MAGELLAN
MA
01
W02428
BLUE SHIELD
MA
Enumeration date
02/12/2007
Last updated
03/01/2012
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