Provider Demographics
NPI:1942546346
Name:KITEHILL PSYCHOTHERAPY
Entity Type:Organization
Organization Name:KITEHILL PSYCHOTHERAPY
Other - Org Name:BELINDA STROUD, PSY.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:415-381-9600
Mailing Address - Street 1:131 CAMINO ALTO
Mailing Address - Street 2:SUITE E1
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2254
Mailing Address - Country:US
Mailing Address - Phone:415-381-9600
Mailing Address - Fax:415-381-9611
Practice Address - Street 1:131 CAMINO ALTO
Practice Address - Street 2:SUITE E1
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2254
Practice Address - Country:US
Practice Address - Phone:415-381-9600
Practice Address - Fax:415-381-9611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24593103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty