Provider Demographics
NPI:1912659897
Name:BURGETOVA, KRISTINA
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:BURGETOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WILBY ROAD
Mailing Address - Street 2:07-27
Mailing Address - City:SINGAPORE
Mailing Address - State:SINGAPORE
Mailing Address - Zip Code:SINGAPORE
Mailing Address - Country:SG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26 WILBY ROAD
Practice Address - Street 2:
Practice Address - City:SINGAPORE
Practice Address - State:SINGAPORE
Practice Address - Zip Code:276308
Practice Address - Country:SG
Practice Address - Phone:659-187-1624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist