Jill Kristal is a Clinical in Larchmont, New York. Jill Kristal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Kristal is 1700960283. The last update date is 2022-01-09.
Jill Kristal's current location address is 4 Rockridge Rd, Larchmont, New York. You can contact this provider via phone number 9148352368. The mailing address for Jill Kristal is 4 Rockridge Rd, Larchmont, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Kristal |
|---|---|
| Address | 4 Rockridge Rd, Larchmont, New York |
| Phone Number | 9148352368 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700960283 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2022-01-09 |
Provider Mailing Address Detail
| Address | 4 Rockridge Rd |
|---|---|
| City | Larchmont |
| State | New York (NY) |
| Post Code | 105383918 |
| Phone Number | 9148352368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 10041 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Jill Kristal by the Centers for Medicare & Medicaid Services?
The Jill Kristal has been issued the NPI (National Provider Identifier) 1700960283. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jill Kristal?
The Jill Kristal is situated at 4 Rockridge Rd, in the city of Larchmont, state of NY, with the zip code 105383918.
What is Jill Kristal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jill Kristal's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Jill Kristal receive its 1700960283?
The Jill Kristal was issued its 1700960283 on 2006-10-24, which is the date when the organization was assigned this unique identifier.
As of what date were the Jill Kristal's details last updated?
The information pertaining to the Jill Kristal, including its address, specialty, and other details, was most recently updated on 2022-01-09.