| Jean L Kristeller Ph D | |
|
The Maple Center Attn: Jean Kristeller 1801 N 6th St Ste 600 Terre Haute IN 47804-4047 | |
| (812) 240-5790 | |
| Not Available |
| Full Name | Jean L Kristeller Ph D |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | The Maple Center Attn: Jean Kristeller, Terre Haute, Indiana |
| Authorized Official Name and Position | Jean Lorraine Kristeller (OWNER) |
| Authorized Official Contact | 8128773760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean L Kristeller Ph D 4435 Lancashire Ct Terre Haute IN 47803-2092 Ph: (812) 877-3760 | Jean L Kristeller Ph D The Maple Center Attn: Jean Kristeller 1801 N 6th St Ste 600 Terre Haute IN 47804-4047 Ph: (812) 240-5790 |
| NPI Number | 1023762176 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023762176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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