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NPI Code Detail

MEDICARE: KRISTIN ABBATE PSYD

MEDICARE: KRISTIN ABBATE PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist004320AZ

General Provider Information

NPI Number : 1053728584
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN ABBATE PSYD
Provider Business Mailing Address
First Line : 7373 N SCOTTSDALE RD STE A199
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85253-3593
Country : US
Telephone Number : 702-805-5360
Fax Number :
Provider Business Practice Location Address
First Line : 7373 N SCOTTSDALE RD STE A199
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85253-3593
Country : US
Telephone Number : 702-805-5360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2014
Last Update Date : 08/11/2025

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Directions to “ KRISTIN ABBATE PSYD” Practice Location

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