Kivisto, Katherine Little
Kivisto, Katherine Little is an individual health care provider with primary practice located at 1400 E Hanna Ave Good Hall 109, Indianapolis IN 46227-3630. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kivisto, Katherine Little can be contacted via phone (317) 788-3790.Contact Information
Primary practice address
1400 E Hanna Ave Good Hall 109
Indianapolis IN 46227-3630
Phone: (317) 788-3790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042671A | Indiana |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 20042671A | Indiana |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 20042671A | Indiana |
Profile Details
| NPI number | 1790111995 |
|---|---|
| LBN Legal business name | Kivisto, Katherine Little |
| Credentials | PH.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2013 |
| Last updated | Sep 19th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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