Fredric A Kristal in Bangor - Psychologist
Fredric A Kristal - NPI 1649210865
Fredric A Kristal is a Psychologist in Bangor, Maine. Fredric A Kristal practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Fredric A Kristal is 1649210865. The last update date is 2021-05-04.
Fredric A Kristal's current location address is 29 Franklin St, Bangor, Maine. You can contact this provider via phone number 2079423816 and fax number 2075614725. The mailing address for Fredric A Kristal is 29 Franklin St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fredric A Kristal |
|---|---|
| Address | 29 Franklin St, Bangor, Maine |
| Phone Number | 2079423816 |
| Fax Number | 2075614725 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1649210865 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2021-05-04 |
Provider Mailing Address Detail
| Address | 29 Franklin St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44014909 |
| Phone Number | 2079423816 |
| Fax Number | 2075614725 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS925 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223490099 | ME | -- | |
| 98303 | ME | ANTHEM LEGACY NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Fredric A Kristal by the Centers for Medicare & Medicaid Services (CMS)?
The Fredric A Kristal has been assigned the NPI (National Provider Identifier) 1649210865. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Fredric A Kristal is physically located?
The Fredric A Kristal is physically situated at the following address: 29 Franklin St, Bangor, ME, 44014909.
What is Fredric A Kristal's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fredric A Kristal is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649210865 to Fredric A Kristal?
The Centers for Medicare & Medicaid Services assigned the 1649210865 to Fredric A Kristal on 2006-06-07.
As of what date was the information pertaining to Fredric A Kristal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fredric A Kristal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-04.