| Doctor Name: | DR. KRISTIN PATRICE GIRARDOT |
| NPI Number: | 1023327459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY6292 |
| Business Practice Address: | 500 N Maitland Ave Suite 110 Maitland, FL - 327514482 |
| Business Phone Number: | 4078087852 |
| Business Fax Number: | |
| Mailing Address: | Po Box 547878, ORLANDO |
| State: | FL |
| Postal Code: | 328547878 |
| Phone Number: | 4078087852 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY6292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |