Doctor Name: | KRISTIN LANDERS |
NPI Number: | 1568672962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | 0583 |
Business Practice Address: | 5909 Shelby Oaks Dr Memphis, TN - 381347317 |
Business Phone Number: | 9012527600 |
Business Fax Number: | |
Mailing Address: | 6522 Shenandoah Ln, OLIVE BRANCH |
State: | MS |
Postal Code: | 386543406 |
Phone Number: | 6628906098 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |