Provider Demographics
NPI:1437207974
Name:ARANGO, KRISTIN GROTHE
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:GROTHE
Last Name:ARANGO
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:GROTHE-ARANGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:815 ORIENTA AVE
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5600
Mailing Address - Country:US
Mailing Address - Phone:407-830-6033
Mailing Address - Fax:407-830-7383
Practice Address - Street 1:815 ORIENTA AVE
Practice Address - Street 2:SUITE 1010
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5601
Practice Address - Country:US
Practice Address - Phone:407-830-6033
Practice Address - Fax:407-830-7383
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 5924103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist