Provider Demographics
NPI:1104631134
Name:KRISTIN BULIN TRAUMA ANXIETY SPECIALIST
Entity type:Organization
Organization Name:KRISTIN BULIN TRAUMA ANXIETY SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:BERG
Authorized Official - Last Name:BULIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-626-4412
Mailing Address - Street 1:7110 OAKLAND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1871
Mailing Address - Country:US
Mailing Address - Phone:314-626-4412
Mailing Address - Fax:
Practice Address - Street 1:7110 OAKLAND AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1871
Practice Address - Country:US
Practice Address - Phone:314-626-4412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health