Provider Demographics
NPI:1831541200
Name:HINRICHS, KRISTIN H (PHD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:H
Last Name:HINRICHS
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:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-454-7756
Mailing Address - Fax:314-454-7759
Practice Address - Street 1:4444 FOREST PARK AVE
Practice Address - Street 2:DIV NEUROREHABILITATION, STE 2306
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2212
Practice Address - Country:US
Practice Address - Phone:314-454-7756
Practice Address - Fax:314-454-7759
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016017424103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490037111Medicaid