Provider Demographics
NPI:1407492234
Name:TOBIAS, KRISTEN GERDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:GERDA
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 10TH ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1407
Mailing Address - Country:US
Mailing Address - Phone:914-484-0193
Mailing Address - Fax:
Practice Address - Street 1:VA NEW JERSEY HEALTH CARE SYSTEM
Practice Address - Street 2:385 TREMONT AVE.
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023524103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical