National Provider Identifier
Kristen Elaine Holderle, PHD
Kristen Elaine Holderle, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Pittsford, NY and a listed phone number of (585) 797-7084.
Profile Overview
- NPI
- 1356420939
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- November 03, 2006
- Last Updated
- July 05, 2023
Practice Location
- 1175 Pittsford Victor RD
- Suite 100
- Pittsford, NY 14534-3811
Phone: (585) 797-7084
Specialties
- Psychologist (103T00000X)
- Psychologist (103T00000X)
Endpoints
- kdavidson6963@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1356420939
- Entity Type
- Individual
- Last Name
- Holderle
- First Name
- Kristen
- Middle Name
- Elaine
- Name Prefix
- Dr.
- Credential
- PHD
- Provider Other Last Name
- Davidson
- Provider Other First Name
- Kristen
- Provider Other Middle Name
- Holderle
- Provider Other Credential Text
- PHD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1175 Pittsford Victor RD
- Mailing Address Line 2
- Suite 100
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-3811
- Mailing Country
- US
- Mailing Phone
- (585) 797-7084
- Mailing Fax
- (844) 626-2450
- Practice Street Address
- 1175 Pittsford Victor RD
- Practice Address Line 2
- Suite 100
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-3811
- Practice Country
- US
- Practice Phone
- (585) 797-7084
- Practice Fax
- (844) 626-2450
- Enumeration Date
- November 03, 2006
- Last Updated
- July 05, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X), Psychologist (103T00000X)
- Other Identifiers
- 18954FC (NY, Preferred Care), 7161860 (NY, Aetna), P010016808 (NY, Excellus Rochester Region)