Individual
SANDRA L KILPATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 N HOLTZCLAW AVE, STE 100, CHATTANOOGA, TN 37404-1242
(423) 622-0500
(423) 622-0564
Mailing address
PO BOX 1065, CHATTANOOGA, TN 37401-1065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P02100
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3688696
—
TN
Enumeration date
10/06/2005
Last updated
07/08/2007
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