Provider Demographics
NPI:1891383469
Name:STYREN, KRISTINA (MA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:
Last Name:STYREN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ALBIN RD
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-3704
Mailing Address - Country:US
Mailing Address - Phone:802-274-2979
Mailing Address - Fax:
Practice Address - Street 1:4 HILLCAT DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:NH
Practice Address - Zip Code:03244-4847
Practice Address - Country:US
Practice Address - Phone:603-464-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool