Provider Demographics
NPI:1154575439
Name:BABIGIAN, KRISTIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:
Last Name:BABIGIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PHELPSCROFT RD
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-2149
Mailing Address - Country:US
Mailing Address - Phone:860-906-7062
Mailing Address - Fax:860-909-0020
Practice Address - Street 1:18 PHELPSCROFT RD
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-2149
Practice Address - Country:US
Practice Address - Phone:860-906-7062
Practice Address - Fax:860-909-0020
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002901103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist