Provider Demographics
NPI:1669564910
Name:COLLINS, KARI KRISTINA (PHD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:KRISTINA
Last Name:COLLINS
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 1:109 ROCKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1430
Mailing Address - Country:US
Mailing Address - Phone:914-833-2093
Mailing Address - Fax:914-833-2093
Practice Address - Street 1:109 ROCKLAND AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-1430
Practice Address - Country:US
Practice Address - Phone:914-833-2093
Practice Address - Fax:914-833-2093
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013199-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist