Provider Demographics
NPI:1588683452
Name:MURRISON, KITT (PHD)
Entity Type:Individual
Prefix:DR
First Name:KITT
Middle Name:
Last Name:MURRISON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 CHURN CREEK RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-3930
Mailing Address - Country:US
Mailing Address - Phone:530-224-9341
Mailing Address - Fax:530-223-0977
Practice Address - Street 1:5200 CHURN CREEK RD
Practice Address - Street 2:SUITE E
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-3930
Practice Address - Country:US
Practice Address - Phone:530-224-9341
Practice Address - Fax:530-223-0977
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical