Provider Demographics
NPI:1396042115
Name:GOLDEN, KRISTINA MICHELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:MICHELLE
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:KRAKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:935 REDGATE AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1517
Mailing Address - Country:US
Mailing Address - Phone:904-619-6071
Mailing Address - Fax:904-212-0309
Practice Address - Street 1:935 REDGATE AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507
Practice Address - Country:US
Practice Address - Phone:904-619-6071
Practice Address - Fax:904-212-0309
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional