Provider Demographics
NPI:1568736148
Name:KREIS, KONSTANTINA ELENA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KONSTANTINA
Middle Name:ELENA
Last Name:KREIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARIA CLARA
Other - Middle Name:
Other - Last Name:KREIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2000 STRAND RD UNIT 2401
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-8424
Mailing Address - Country:US
Mailing Address - Phone:412-499-0550
Mailing Address - Fax:
Practice Address - Street 1:12073 TECH RD STE B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7874
Practice Address - Country:US
Practice Address - Phone:301-593-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017165103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist