| Doctor Name: | KRYSTIN M ST ONGE |
| NPI Number: | 1275921827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LICSW |
| License Number: | 219092 |
| Business Practice Address: | 2 Oak Street Suite 201 Mashpee, MA - 02649 |
| Business Phone Number: | 7745217250 |
| Business Fax Number: | 5085390090 |
| Mailing Address: | 16 Whispering Pines Dr, TEATICKET |
| State: | MA |
| Postal Code: | 02536 |
| Phone Number: | 7745217250 |
| Fax Number: | 5085390090 |
| NPI Enumeration Date: | 01/06/2015 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 219092 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |