Kristin O. Tristao, Ph.d., Psychologist, Pc | |
6700 N 1st St Ste 138 Fresno CA 93710-3956 | |
(559) 227-1977 | |
Not Available |
Full Name | Kristin O. Tristao, Ph.d., Psychologist, Pc |
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Speciality | Clinic/Center |
Location | 6700 N 1st St Ste 138, Fresno, California |
Authorized Official Name and Position | Kristin Tristao (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 5592271977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kristin O. Tristao, Ph.d., Psychologist, Pc 6700 N 1st St Ste 138 Fresno CA 93710-3956 Ph: (559) 227-1977 | Kristin O. Tristao, Ph.d., Psychologist, Pc 6700 N 1st St Ste 138 Fresno CA 93710-3956 Ph: (559) 227-1977 |
NPI Number | 1457952756 |
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Provider Enumeration Date | 11/03/2020 |
Last Update Date | 11/03/2020 |
Certification Date | 11/03/2020 |
Medicare PECOS PAC ID | 8921410572 |
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Medicare Enrollment ID | O20201223002156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457952756 | NPI | - | NPPES |
Provider Name | Kristin Olivia Tristao |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508409202 PECOS PAC ID: 9830501485 Enrollment ID: I20201223002337 |
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