Provider Demographics
NPI:1558414797
Name:ZORGER, KRISTINA ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:ANN
Last Name:ZORGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MIRONA ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5385
Mailing Address - Country:US
Mailing Address - Phone:603-373-6668
Mailing Address - Fax:
Practice Address - Street 1:30 MIRONA ROAD EXT
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5385
Practice Address - Country:US
Practice Address - Phone:603-373-6668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH912103TC0700X
MA7751103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical