Individual
KELLY J PIZZITOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4610 W COMMERCIAL DR, NORTH LITTLE ROCK, AR 72116-7057
(501) 287-5229
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
06-39P
AR
103TC2200X
Clinical Child & Adolescent Psychologist
34329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164708719
—
AR
Enumeration date
07/23/2007
Last updated
06/11/2024
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