Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 21664 | CA |
N | 103TC0700X | Clinical Psychologist | 21664 | CA |
Y | 103G00000X | Clinical Psychologist | 34408 | TX |
Y | 103TC0700X | Clinical Psychologist | 34408 | TX |
NPI | 1003002015 |
---|---|
Provider Name | Dr. Kristen M. Ohlenforst |
First Address | Dallas, TX 75230-1524 |
Second Address | Dallas, TX 75230-1524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 22/06/2020 |