Doctor Name: | KRISTEN HEDRICK |
NPI Number: | 1215367362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0701005615 |
Business Practice Address: | 214 Bush River Dr Farmville, VA - 239013179 |
Business Phone Number: | 4343923187 |
Business Fax Number: | |
Mailing Address: | 341 Ca Ira Rd, CUMBERLAND |
State: | VA |
Postal Code: | 230402820 |
Phone Number: | 4344142773 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2013 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701005615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |