DR. KRISTEN A WILSON, PSY.D. - NPI NUMBER 1609177559

Summary

Provider Name: DR. KRISTEN A WILSON, PSY.D.

NPI Number: 1609177559

Clasification: Psychologist (103T00000X)

Address:
7315 DIXIE HWY
FLORENCE, KY
ZIP 41042

Phone Number: (859) 282-0119



Detailed Information

DR. Kristen A Wilson, PSY.D. is a psychologist in Florence, KY. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. The assigned NPI number for this provider is 1609177559 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

7315 DIXIE HWY
FLORENCE, KY
ZIP 41042-126
Phone: (859) 282-0119
Fax: (859) 282-8018

The enumeration date for this NPI number is 11/9/2010 and was last updated on 4/1/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103T00000X Psychologist 6925 OH No
2 103TC0700X Psychologist Clinical 1723 KY No
3 103TC2200X Psychologist Clinical Child & Adolescent 1723 KY No
4 103TB0200X Psychologist Cognitive & Behavioral 1723 KY No
5 103TF0000X Psychologist Family 1723 KY No
6 103TP2701X Psychologist Group Psychotherapy 1723 KY No
7 103T00000X Psychologist 1723 KY Yes

NPI Record

No. Field Name Field Value
1 NPI 1609177559
2 Entity Type Code 1
3 Provider Last Name Legal Name WILSON
4 Provider First Name KRISTEN
5 Provider Middle Name A
6 Provider Name Prefix Text DR.
7 Provider Credential Text PSY.D.
8 Provider First Line Business Practice Location Address 7315 DIXIE HWY
9 Provider Business Practice Location Address City Name FLORENCE
10 Provider Business Practice Location Address State Name KY
11 Provider Business Practice Location Address Postal Code 410422126
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8592820119
14 Provider Business Practice Location Address Fax Number 8592828018
15 Provider Enumeration Date 11/9/2010
16 Last Update Date 4/1/2013
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 103T00000X
19 Provider License Number 1 6925
20 Provider License Number State Code 1 OH
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 103TC0700X
23 Provider License Number 2 1723
24 Provider License Number State Code 2 KY
25 Healthcare Provider Primary Taxonomy Switch 2 N
26 Healthcare Provider Taxonomy Code 3 103TC2200X
27 Provider License Number 3 1723
28 Provider License Number State Code 3 KY
29 Healthcare Provider Primary Taxonomy Switch 3 N
30 Healthcare Provider Taxonomy Code 4 103TB0200X
31 Provider License Number 4 1723
32 Provider License Number State Code 4 KY
33 Healthcare Provider Primary Taxonomy Switch 4 N
34 Healthcare Provider Taxonomy Code 5 103TF0000X
35 Provider License Number 5 1723
36 Provider License Number State Code 5 KY
37 Healthcare Provider Primary Taxonomy Switch 5 N
38 Healthcare Provider Taxonomy Code 6 103TP2701X
39 Provider License Number 6 1723
40 Provider License Number State Code 6 KY
41 Healthcare Provider Primary Taxonomy Switch 6 N
42 Healthcare Provider Taxonomy Code 7 103T00000X
43 Provider License Number 7 1723
44 Provider License Number State Code 7 KY
45 Healthcare Provider Primary Taxonomy Switch 7 Y
46 Is Sole Proprietor N

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This page was last updated on: 3/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.