Provider Demographics
NPI:1750456992
Name:LITTON-BELCHER, KIMBERLY SHAY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SHAY
Last Name:LITTON-BELCHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 ALEPPO DR
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-3114
Mailing Address - Country:US
Mailing Address - Phone:843-963-6605
Mailing Address - Fax:
Practice Address - Street 1:CMR 463 BOX 92
Practice Address - Street 2:
Practice Address - City:KATTERBACH
Practice Address - State:GERMANY
Practice Address - Zip Code:APO AE 09177
Practice Address - Country:DE
Practice Address - Phone:843-469-7120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178004324101YM0800X
IL071.007662103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical