Doctor Name: | DR. KRISTEN M. OHLENFORST |
NPI Number: | 1003002015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 21664 |
Business Practice Address: | 12820 Hillcrest Rd # C119 Dallas, TX - 752301526 |
Business Phone Number: | 2147556119 |
Business Fax Number: | |
Mailing Address: | 12820 Hillcrest Rd # C119, DALLAS |
State: | TX |
Postal Code: | 752301526 |
Phone Number: | 2147556119 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 01/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 21664 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |