Provider Demographics
NPI:1083073332
Name:SMONDROWSKI, KRISTIN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:SMONDROWSKI
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:FELDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 FLINTROCK CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1348
Mailing Address - Country:US
Mailing Address - Phone:215-801-2825
Mailing Address - Fax:
Practice Address - Street 1:319 FLINTROCK CT
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-1348
Practice Address - Country:US
Practice Address - Phone:215-801-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-15
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000857106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist