| Doctor Name: | DR. KRISTIE DAWN ENGEL |
| NPI Number: | 1003013053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 33629 |
| Business Practice Address: | 612 E University Ave Georgetown, TX - 786267034 |
| Business Phone Number: | 5129305437 |
| Business Fax Number: | 5129307400 |
| Mailing Address: | 203 Arrowhead Trl, CEDAR PARK |
| State: | TX |
| Postal Code: | 786137392 |
| Phone Number: | 5129405399 |
| Fax Number: | 5128689894 |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | 33629 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |