Individual
TERRY ROBERT KITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
100 AZALEA PL, CHAPEL HILL, NC 27517-8303
(919) 933-4727
Mailing address
100 AZALEA PL, CHAPEL HILL, NC 27517-8303
(919) 933-4727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0914
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24744
SCHOOL PSYCHOLOGIST
—
01
—
914
PSYCHOLOGICAL ASSOCIATE
NC
Enumeration date
02/13/2007
Last updated
07/08/2007
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