| Doctor Name: | DR. KRISTEN W ECKELHOFF |
| NPI Number: | 1003901604 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 07-29P |
| Business Practice Address: | 5111 Rogers Ave Suite 526 Fort Smith, AR - 729032047 |
| Business Phone Number: | 4794346797 |
| Business Fax Number: | 4794845632 |
| Mailing Address: | 5111 Rogers Ave, Suite 526 FORT SMITH |
| State: | AR |
| Postal Code: | 729032047 |
| Phone Number: | 4794346797 |
| Fax Number: | 4794845632 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 07-29P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |