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Individual
TERRI PITTENGER
Active
Individual
TERRI PITTENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174779599
—
NV
01
—
14217600
CAQH
—
Enumeration date
08/18/2008
Last updated
06/21/2023
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