Individual
DR. EDWARD JOHN BITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19634 VENTURA BLVD, STE. 325, TARZANA, CA 91356-2966
(818) 345-2341
(818) 345-7736
Mailing address
17115 WILLIAMS OAK DR, CYPRESS, TX 77433-4543
(310) 277-0190
(281) 758-5400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY043401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5422000PL43400
BLUE SHIELD OF CALIFORNIA
CA
05
—
PSY043401
—
CA
Enumeration date
07/12/2006
Last updated
09/09/2011
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