Provider Demographics
NPI:1477825495
Name:SPRINGER, KRISSIE ANN
Entity Type:Individual
Prefix:
First Name:KRISSIE
Middle Name:ANN
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1361
Mailing Address - Street 2:
Mailing Address - City:BRADY
Mailing Address - State:TX
Mailing Address - Zip Code:76825-1361
Mailing Address - Country:US
Mailing Address - Phone:325-792-8133
Mailing Address - Fax:
Practice Address - Street 1:601 S CHINA ST
Practice Address - Street 2:
Practice Address - City:BRADY
Practice Address - State:TX
Practice Address - Zip Code:76825-5433
Practice Address - Country:US
Practice Address - Phone:325-792-8133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral