Provider Demographics
NPI:1801871736
Name:WEBB, KRISTIN B (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:B
Last Name:WEBB
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 DEERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-3406
Mailing Address - Country:US
Mailing Address - Phone:919-225-1569
Mailing Address - Fax:
Practice Address - Street 1:105 DEERWOOD CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-3406
Practice Address - Country:US
Practice Address - Phone:919-225-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2639103TC0700X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC280997OtherMANAGED HEALTH NETWORK
NC045KEOtherBLUE CROSS BLUE SHIELD NC
NC280997OtherMANAGED HEALTH NETWORK