Individual
DR. NICOLE MARIE KITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W WACKERLY ST STE 11, MIDLAND, MI 48640-2769
(989) 832-2165
Mailing address
2520 UNIVERSITY PARK, MOUNT PLEASANT, MI 48858-4464
(989) 774-2529
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6351004491
MI
103TC0700X
Clinical Psychologist
Primary
6351004491
MI
106S00000X
Behavior Technician
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Other
Enumeration date
06/13/2018
Last updated
03/15/2026
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