DR. KRISTEN MARIE MARIN (NPI# 1265958375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265958375 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN MARIE MARIN |
| Other Name | KRISTEN MARIE ASMUSSEN |
| Credential | LP |
| Practice Address |
University of Wisconsin-la Crosse, 1725 State Street 2106 Centennial Hall La Crosse WI 54601-3742 |
| Practice Telephone | (608) 785-8073 |
| Mailing Telephone | 6087858073 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3063-57 | WI | Behavioral Health & Social Service Providers |
| Street Address |
UNIVERSITY OF WISCONSIN-LA CROSSE, 1725 STATE STREET 2106 CENTENNIAL HALL |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075661 | Moonlight Psychotherapy and Psychological Services, LLC | Psychologist | 205 5th Ave S Ste 428, La Crosse, WI 54601-4059 | 2018-12-19 |
| 1255492799 | Karen Lee Corona-londre | Psychologist | 2515 Smith Valley Rd, La Crosse, WI 54601 | 2006-12-12 |
| 1003351016 | Carol Goulet | Psychologist | 800 West Ave S, La Crosse, WI 54601-8806 | 2016-12-29 |
| 1831452069 | Chelsea M Ale | Psychologist | 700 West Ave S, La Crosse, WI 54601-4783 | 2012-06-22 |
| 1275868564 | Adam H Minniear | Psychologist | 212 11th St S, La Crosse, WI 54601-4397 | 2009-10-05 |
| 1295897247 | Ronald W Schafer | Psychologist | 1707 Main St, La Crosse, WI 54601-4200 | 2006-12-15 |
| 1053392407 | David W Fruehling | Psychologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-11-10 |
| 1801891056 | Kathryn A Baker | Psychologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-15 |
| 1306841788 | James M Tarlano | Psychologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-14 |
| 1104820935 | Kevin M Boland | Psychologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-09 |
| Find all providers in LA CROSSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.