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Kristen Kochanski
Prescribing (Medical) Psychologist in Annapolis, Maryland
NPI 1528461027

Kristen Kochanski is a Prescribing (Medical) Psychologist based in Fort Meade, MD and is specialized in Prescribing (Medical). Kristen Kochanski practices in Annapolis, MD. The NPI Number for Kristen Kochanski is 1528461027 and holds a License No. 071.010578 (Maryland).

The current practice location address for Kristen Kochanski is 695 Kinkaid Rd, Annapolis, MD and can be reached out via phone at 410-293-3208.

Location: 695 Kinkaid Rd, Annapolis, MD, 20755-6586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528461027
Provider Name
Kristen Kochanski
Credential
Provider Entity Type
Individual
Gender
Female
Address
695 Kinkaid Rd, Annapolis, MD, 20755-6586
Phone Number
410-293-3208
Fax Number
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
074.000009 01 IL LICENSED PRESCRIBING PSYCHOLOGIST
071.010578 01 IL LICENSED CLINICAL PSYCHOLOGIST
institution
Provider Business Practice Location Address Details
Address
695 Kinkaid Rd
City
Annapolis
State
Maryland
Zip
21402-1006
Phone Number
410-293-3208
Fax Number
person
Provider Business Mailing Address Details
Address
695 Kinkaid Rd
City
Annapolis
State
Maryland
Zip
21402-1006
Phone Number
410-293-3208
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
0810005106 (Virginia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
071.010578 (Illinois)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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