Provider Demographics
NPI:1861533846
Name:SCHWERIN, KRISTINA MARIE BRAULT (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:MARIE BRAULT
Last Name:SCHWERIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRISTINA
Other - Middle Name:MARIE BRAULT
Other - Last Name:RIOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:509 A FOURTH ST.
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616
Mailing Address - Country:US
Mailing Address - Phone:530-219-3510
Mailing Address - Fax:530-475-6735
Practice Address - Street 1:509 A FOURTH ST.
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616
Practice Address - Country:US
Practice Address - Phone:530-219-3510
Practice Address - Fax:530-475-6735
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA927782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry