Individual
ROBYN KITTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD HSPP
Contact information
Practice address
1904 WEST ROYALE DRIVE, MUNCIE, IN 47304-2264
(765) 284-0443
(765) 284-4112
Mailing address
1904 WEST ROYALE DR, MUNCIE, IN 47304-2264
(765) 284-0043
(765) 284-4112
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041894A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030791
MPLAN
IN
01
—
000000363649
ANTHEM BCBS
IN
01
—
740327000
MAGELLAN HEALTH SERVICES
IN
Enumeration date
06/27/2006
Last updated
07/06/2015
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