Individual
MS. TONIA M KITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., IPE
Contact information
Practice address
751 E PORTER AVE STE 1, PORTER, IN 46304-9111
(219) 786-1582
Mailing address
751 E PORTER AVE STE 1, PORTER, IN 46304-9111
(219) 786-1582
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1307271
IN
Other
Enumeration date
05/29/2013
Last updated
10/11/2024
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