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Individual

DR. AVIS PITKOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D, LPC

Contact information

Practice address
1432 EASTON RD STE 5A, WARRINGTON, PA 18976-2853
(610) 892-3800
Mailing address
1432 EASTON RD STE 5A, WARRINGTON, PA 18976-2853
(610) 892-3800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC007041
PA
101YP2500X
Professional Counselor
PC007041
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1034253300001
PA
Enumeration date
01/31/2014
Last updated
03/23/2024
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