Provider Demographics
NPI:1275831935
Name:COLLINS-JOHNS, KRISTI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:
Last Name:COLLINS-JOHNS
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 1:15700 NW 125TH ST
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-7906
Mailing Address - Country:US
Mailing Address - Phone:816-431-4007
Mailing Address - Fax:
Practice Address - Street 1:15700 NW 125TH ST
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-7906
Practice Address - Country:US
Practice Address - Phone:816-431-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005038072103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical