Individual
DR. NKAKU ROBERT KISAALITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
300 W VETERANS BLVD, BIG SPRING, TX 79720-5566
(432) 270-2829
Mailing address
300 W VETERANS BLVD, BIG SPRING, TX 79720-5566
(432) 270-2829
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004333
CO
103TH0004X
Health Psychologist
PSY.0004333
CO
Other
Enumeration date
07/19/2015
Last updated
04/28/2022
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