Kristen Louise Roy, MASTERS LTD PSYCHOL
Individual provider Active NPI Psychologist · Lawrence, MI
NPI 1043405293 · NPPES record last updated Sep 11, 2007
Key facts
- NPI
- 1043405293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6301010289 (MI)
- Practice address
- 430 Bangor Road
Lawrence, MI 49064 - Phone
- (269) 674-4600
- Fax
- (269) 674-4126
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010289 | MI | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301010289 | MI | Yes |
Addresses
Primary practice location
430 Bangor Road
Lawrence, MI 49064
Mailing address
PO Box 249
801 Hazen Street Suite C
Paw Paw, MI 49079-0249
Phone (269) 657-5574
Other names
- Miss Kristen Louise Hansen
Other providers in Lawrence, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.