Provider Demographics
NPI:1548981517
Name:NUNEZ, KRISTINA (PSYD)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:NUNEZ
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 1:3411 YOAKUM BLVD APT 2702
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4335
Mailing Address - Country:US
Mailing Address - Phone:630-915-8588
Mailing Address - Fax:
Practice Address - Street 1:4646 WILD INDIGO ST STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7190
Practice Address - Country:US
Practice Address - Phone:713-396-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist