Provider Demographics
NPI:1427461300
Name:BELLONI, KRISTEN CLINE (PHD, LP, LSSP)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:CLINE
Last Name:BELLONI
Suffix:
Gender:F
Credentials:PHD, LP, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8668 JOHN HICKMAN PKWY STE 804
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9386
Mailing Address - Country:US
Mailing Address - Phone:469-664-0070
Mailing Address - Fax:469-200-8070
Practice Address - Street 1:8668 JOHN HICKMAN PKWY STE 804
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9386
Practice Address - Country:US
Practice Address - Phone:469-664-0070
Practice Address - Fax:469-200-8070
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36646103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist