Provider Demographics
NPI:1114232220
Name:GELNETT, KRISTEN M
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:M
Last Name:GELNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BENNETS NECK DR
Mailing Address - Street 2:
Mailing Address - City:POCASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02559-3018
Mailing Address - Country:US
Mailing Address - Phone:508-340-9382
Mailing Address - Fax:
Practice Address - Street 1:4 COURT ST
Practice Address - Street 2:102
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3218
Practice Address - Country:US
Practice Address - Phone:617-450-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst