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Hannah Kingkittisack, LBA, TLLP — NPI 1669961363, Detroit, MI | NPI Central

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NPI 1669961363

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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

Clinical Child & Adolescent PsychologistPrimary103TC2200XLicense 6362010066 (MI)
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

More MI providers

Mailing address

2675 Fini Dr

Milford, MI 48380-3960

Additional practice locations (1)

10031 Spencer Rd
Brighton, MI 48114-3806
Phone: (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.