IndividualActive
Hannah Kingkittisack, LBA, TLLP
NPI 1669961363 · Clinical Child & Adolescent Psychologist · Detroit, MI
Provider details
- NPI number
- 1669961363
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- LBA, TLLP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
16500 Tireman St
Detroit, MI 48228-3629
Phone: (313) 451-1390
Approximate (ZIP-level) locationGet directions
Mailing address
2675 Fini Dr
Milford, MI 48380-3960
Additional practice locations (1)
- 10031 Spencer RdBrighton, MI 48114-3806Phone: (810) 229-4334
Registry dates
- Enumerated
- 2018-05-08
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.