Kristin Renee Goradietsky, - Psychologist in La Crescenta, CA

Kristin Renee Goradietsky, is a Psychologist - Clinical based in La Crescenta, California. Kristin Renee Goradietsky is licensed to practice in California (license number PSY36152) and her current practice location is 2512 Foothill Blvd, La Crescenta, California. She can be reached at her office (for appointments etc.) via phone at (626) 214-5092.

NPI number for Kristin Renee Goradietsky is 1427381086 and her current mailing address is 2512 Foothill Blvd, La Crescenta, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427381086.

Contact Information

Kristin Renee Goradietsky,
2512 Foothill Blvd,
La Crescenta, CA 91214-3506
(626) 214-5092
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristin Renee Goradietsky
GenderFemale
SpecialityPsychologist - Clinical
Location2512 Foothill Blvd, La Crescenta, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427381086
  • Provider Enumeration Date: 09/15/2009
  • Last Update Date: 09/30/2025

Medical Identifiers

Medical identifiers for Kristin Renee Goradietsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427381086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY36152 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Renee Goradietsky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristin Renee Goradietsky,
2512 Foothill Blvd,
La Crescenta, CA 91214-3506

Ph: (626) 214-5092
Kristin Renee Goradietsky,
2512 Foothill Blvd,
La Crescenta, CA 91214-3506

Ph: (626) 214-5092

Reviews and Comments


Psychologist in La Crescenta, CA

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