Provider Demographics
NPI:1285213991
Name:FRANZEN, KRISTEN A (MA)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:A
Last Name:FRANZEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10426 MANDERLEY WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-7359
Mailing Address - Country:US
Mailing Address - Phone:860-716-6307
Mailing Address - Fax:
Practice Address - Street 1:10226 CURRY FORD ROAD
Practice Address - Street 2:SUITE 107 PMB 1108
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3282
Practice Address - Country:US
Practice Address - Phone:407-906-0644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH20586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health