Provider Demographics
NPI:1093126864
Name:WEEKES, KRISTEN (MS, BSL)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:WEEKES
Suffix:
Gender:
Credentials:MS, BSL
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:RESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:61 STRATFORD VLG
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-1165
Mailing Address - Country:US
Mailing Address - Phone:177-669-8166
Mailing Address - Fax:
Practice Address - Street 1:2330 VARTAN WAY
Practice Address - Street 2:STE 204
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9763
Practice Address - Country:US
Practice Address - Phone:717-920-9434
Practice Address - Fax:717-920-9197
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001185101YM0800X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health