| Organization Name: | KRISTINE G. MUSICK, PH.D., LLC |
| NPI Number: | 1144306002 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTINE LYNN GUNSAULUS-MUSICK (PRESIDENT) |
| Mailing Address: | 356 E. Elkhorn Ave. Unit 9 Estes Park |
| State: | CO US |
| Postal Code: | 805172513 |
| Phone Number: | 9705866767 |
| Fax Number: | 9705865133 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 08/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 2863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |