Provider Demographics
NPI:1316321946
Name:ANDREN, KRISTINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:
Last Name:ANDREN
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 1:6 HAMMOND RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1910
Mailing Address - Country:US
Mailing Address - Phone:207-347-9231
Mailing Address - Fax:
Practice Address - Street 1:74 LUNT RD
Practice Address - Street 2:SUITE 303
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1995
Practice Address - Country:US
Practice Address - Phone:207-347-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1332103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist