Provider Demographics
NPI:1649486374
Name:LABIN BEKELJA, KRISTEN MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:MARIE
Last Name:LABIN BEKELJA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:MARIE
Other - Last Name:LABIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:21 JENNINGS RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-3307
Mailing Address - Country:US
Mailing Address - Phone:609-512-5483
Mailing Address - Fax:
Practice Address - Street 1:21 JENNINGS RD STE 1
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3307
Practice Address - Country:US
Practice Address - Phone:609-512-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009654225X00000X
PAPS017581103T00000X
NJ35S100550500103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist