Provider Demographics
NPI:1962637868
Name:KRINGS, JUDITH B (PHD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:B
Last Name:KRINGS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-6707
Mailing Address - Country:US
Mailing Address - Phone:920-682-9119
Mailing Address - Fax:
Practice Address - Street 1:21 E WALDO BLVD
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-2905
Practice Address - Country:US
Practice Address - Phone:920-683-3220
Practice Address - Fax:920-683-3017
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI753 057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical