Individual
KEVIN ANDREW SANTULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6501 W 12TH ST, LITTLE ROCK, AR 72204-1511
(501) 666-8686
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
92-19P
AR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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