| Doctor Name: | KRISTINA MARIE HALLETT |
| NPI Number: | 1841231917 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., ABPP |
| License Number: | 6905 |
| Business Practice Address: | 880 Burbank Ave Suffield, CT - 060781459 |
| Business Phone Number: | 8609651655 |
| Business Fax Number: | |
| Mailing Address: | Po Box 537, SUFFIELD |
| State: | CT |
| Postal Code: | 060780537 |
| Phone Number: | 8609651655 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 05/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6905 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |