Provider Demographics
NPI:1588988471
Name:DUHE, KRISTIN L (PSYD, MP)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:L
Last Name:DUHE
Suffix:
Gender:F
Credentials:PSYD, MP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PRESCOTT BLVD APT 223
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6608
Mailing Address - Country:US
Mailing Address - Phone:337-288-8836
Mailing Address - Fax:
Practice Address - Street 1:201 PRESCOTT BLVD APT 223
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-6608
Practice Address - Country:US
Practice Address - Phone:337-288-8836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-21
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA.0006103TP0016X, 103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2384694Medicaid
LA5B803OtherMEDICARE PART B - GROUP
LA5B803OtherMEDICARE PART B - GROUP