Provider Demographics
NPI:1326859323
Name:ULLRICH, KRISTIN LINK (MED)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:LINK
Last Name:ULLRICH
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:DANIELLE
Other - Last Name:LINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 DRUID AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-6321
Mailing Address - Country:US
Mailing Address - Phone:434-409-2578
Mailing Address - Fax:
Practice Address - Street 1:875 RIO EAST CT STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8050
Practice Address - Country:US
Practice Address - Phone:434-409-2024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704017523101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health