| Kristin Renee Goradietsky, | |
|
2512 Foothill Blvd, La Crescenta, CA 91214-3506 | |
| (626) 214-5092 | |
| Not Available |
| Full Name | Kristin Renee Goradietsky |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 3 Years |
| Location | 2512 Foothill Blvd, La Crescenta, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427381086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY36152 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Katie Enney Psychologist Inc | 0941580930 | 3 |
| Entity Name | Katie Enney Psychologist Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245787340 PECOS PAC ID: 0941580930 Enrollment ID: O20161208001832 |
| Mailing Address | Practice 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 |
Nitika Batra, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4725 Rosemont Ave, La Crescenta, CA 91214 Phone: 818-248-4224 |
Mary Panosian, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2930 Foothill Blvd, La Crescenta, CA 91214 Phone: 424-241-0407 |
Talma Salmassi Arakelian, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Community Ave, La Crescenta, CA 91214 Phone: 818-249-5871 |
Beth Rosenberg, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2512 Foothill Blvd, La Crescenta, CA 91214 Phone: 818-233-0395 |
Taline Guevrekian, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2930 Foothill Blvd, La Crescenta, CA 91214 Phone: 818-446-6588 |
Mrs. So Young Celeste Kim, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2620 Orange Ave, La Crescenta, CA 91214 Phone: 818-248-2617 |
Dana Richardson Grip, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2512 Foothill Blvd, La Crescenta, CA 91214 Phone: 818-927-1743 |