Provider Demographics
NPI:1093187551
Name:ALBRECHT, KRISTIN
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:CALVERLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1111 POST OAK BLVD 417
Mailing Address - Street 2:APT 417
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3115
Mailing Address - Country:US
Mailing Address - Phone:713-689-4347
Mailing Address - Fax:
Practice Address - Street 1:2450 FONDREN RD 312
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2323
Practice Address - Country:US
Practice Address - Phone:713-789-7560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37188103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical