Kristine Beth Duncan

Individual provider Active NPI School Psychologist · Willcox, AZ

NPI 1124332036 · NPPES record last updated Aug 3, 2010

Key facts

NPI
1124332036
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
4203650 (AZ)
Practice address
480 N Bisbee Ave
Willcox, AZ 85643-1509
Phone
(520) 384-8626
Fax
(520) 384-4266
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4203650AZMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willcox Unified School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4203650 AZ Yes

Addresses

Primary practice location

480 N Bisbee Ave
Willcox, AZ 85643-1509

Mailing address

480 N Bisbee Ave
Willcox, AZ 85643-1509
Phone (520) 384-8626

Other names

  • Kristine Beth Yoder Former name

Other providers in Willcox, AZ

All providers in Willcox, AZ · School Psychologist in Arizona

Sources for this page

Verify at the official NPI Registry.