Kristen Marie Nordstrom
Individual provider Active NPI Counseling Psychologist · Milford, MI
NPI 1982181376 · NPPES record last updated Jul 27, 2018
Key facts
- NPI
- 1982181376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- Practice address
- 120 S Main St Ste C
Milford, MI 48381-1975 - Phone
- (248) 529-6383
- Fax
- (866) 250-6455
- NPI assigned
- Jul 27, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Yes |
Addresses
Primary practice location
120 S Main St Ste C
Milford, MI 48381-1975
Mailing address
120 S Main St Ste C
Milford, MI 48381-1975
Phone (248) 529-6383
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All providers in Milford, MI · Counseling Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2018. 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.