DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTY LARSEN

Deactivated

KRISTY LARSEN is a Child, Clinical Psychologist healthcare provider located in ROSWELL, Georgia. NPI 1144885856 is deactivated in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · ROSWELL, GA

This NPI has been deactivated. The record was deactivated on June 6, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1144885856
Provider Type
Individual
Gender
Female
NPI Issued
May 8, 2019 (3.0794520547945 yrs)
Last Updated
Apr 22, 2025
Deactivated
Jun 6, 2022
License
PSY004765 (GA)

Practice Information

Address
701 MACY DR
ROSWELL, GA, 300766332
Browse GA providers · Browse ZIP 30076
Phone
6785389823
Primary Specialty
Child, Clinical Psychologist
103TC2200X
Additional Specialty
Child, Clinical Psychologist
Additional Specialty
Child, Clinical Psychologist

Other Child, Clinical Psychologist Providers in ROSWELL, GA

Name Credential NPI
DR. SHITAL PRAMOD GAITONDE PH.D. 1831323849
KATIE FRANCES SLUSHER-FARR 1790345973
MALLORY HUGHES 1366054686
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.