Provider Demographics
NPI:1447545835
Name:MCGUIRE, KRISTINA JOAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:JOAN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 WHITEHORSE MERCERVILLE RD STE 111
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3834
Mailing Address - Country:US
Mailing Address - Phone:609-689-5725
Mailing Address - Fax:609-689-5726
Practice Address - Street 1:1445 WHITEHORSE MERCERVILLE RD STE 111
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619
Practice Address - Country:US
Practice Address - Phone:609-689-5725
Practice Address - Fax:609-689-5726
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00555400103T00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist