Provider Demographics
NPI:1275964454
Name:HORAN-LINDSTROM, KRISTEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:HORAN-LINDSTROM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:HORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2 SUMMIT CT
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1348
Mailing Address - Country:US
Mailing Address - Phone:570-262-8079
Mailing Address - Fax:
Practice Address - Street 1:2 SUMMIT CT
Practice Address - Street 2:SUITE 204
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1348
Practice Address - Country:US
Practice Address - Phone:570-262-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020341103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical