Provider Demographics
NPI:1740167857
Name:PALMA-CAGLE, KRISTINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:
Last Name:PALMA-CAGLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:ALEXIA
Other - Last Name:PALMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7915 N 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-1246
Mailing Address - Country:US
Mailing Address - Phone:928-310-3376
Mailing Address - Fax:
Practice Address - Street 1:515 W BUCKEYE RD STE 305
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-2650
Practice Address - Country:US
Practice Address - Phone:602-834-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-006018103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist