Healthcare Provider Details

I. General information

NPI: 1982214409
Provider Name (Legal Business Name): MOLLY KRING PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 MARTIN LUTHER KING JR BLVD STE LL-22
MADISON WI
53703-3355
US

IV. Provider business mailing address

119 MARTIN LUTHER KING JR BLVD STE LL-22
MADISON WI
53703-3355
US

V. Phone/Fax

Practice location:
  • Phone: 608-205-8224
  • Fax:
Mailing address:
  • Phone: 608-205-8224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number4001-57
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: