Doctor Name: | MS. KRISTIE O ADLOFF |
NPI Number: | 1134419849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 9338 |
Business Practice Address: | 115 Main St Ste 2d North Easton, MA - 023561469 |
Business Phone Number: | 5082387766 |
Business Fax Number: | 5082305089 |
Mailing Address: | 115 Main St Ste 2d, NORTH EASTON |
State: | MA |
Postal Code: | 023561469 |
Phone Number: | 5082387766 |
Fax Number: | 5082305089 |
NPI Enumeration Date: | 04/14/2011 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 9338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |