Healthcare Provider Details

I. General information

NPI: 1336400340
Provider Name (Legal Business Name): JANINE KREFT PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10332 BOSWELL DR
FRISCO TX
75035-2493
US

IV. Provider business mailing address

10332 BOSWELL DR
FRISCO TX
75035-2493
US

V. Phone/Fax

Practice location:
  • Phone: 310-804-9847
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071.009497
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: