Provider Demographics
NPI:1295218824
Name:FRENCH, KRISTEN ALICIA (M ED)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ALICIA
Last Name:FRENCH
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1804
Mailing Address - Country:US
Mailing Address - Phone:508-237-4803
Mailing Address - Fax:
Practice Address - Street 1:1470 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-1804
Practice Address - Country:US
Practice Address - Phone:508-237-4803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst