Pizzitola, Kelly J

Pizzitola, Kelly J is an individual health care provider with primary practice located at 4610 W Commercial Dr , North Little Rock AR 72116-7057. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Pizzitola, Kelly J can be contacted via phone (501) 287-5229.

Contact Information

Primary practice address
4610 W Commercial Dr North Little Rock AR 72116-7057
Phone: (501) 287-5229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 34329 Texas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 06-39P Arkansas

Profile Details

NPI number 1043410608
LBN Legal business name Pizzitola, Kelly J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Jun 11th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1043410608 NPPES
Arkansas MEDICAID 164708719

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