Provider Demographics
NPI:1174646384
Name:SCHULTZ, KRISTIN MCALLISTER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:MCALLISTER
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1809
Mailing Address - Country:US
Mailing Address - Phone:617-877-5323
Mailing Address - Fax:
Practice Address - Street 1:1023 FRONT ST
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1809
Practice Address - Country:US
Practice Address - Phone:617-877-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2015-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9796103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical