Individual
REBECCA KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
120 W MAIN ST STE 207, NORTHVILLE, MI 48167-1584
(313) 288-9104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017856
MI
103TC0700X
Clinical Psychologist
Primary
0810007912
VA
Other
Enumeration date
10/12/2015
Last updated
08/04/2022
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