| Doctor Name: | MS. OLIVIA LOWELL KISTNER |
| NPI Number: | 1073591954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 105570-1 |
| Business Practice Address: | 400 Hillside Ave Haml Clinical Associates Needham, MA - 024941263 |
| Business Phone Number: | 7814539082 |
| Business Fax Number: | 7814539082 |
| Mailing Address: | 690 South St, NEEDHAM |
| State: | MA |
| Postal Code: | 024922724 |
| Phone Number: | 7814539082 |
| Fax Number: | 7814539082 |
| NPI Enumeration Date: | 01/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 105570-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |