Individual
JOEL PITTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44450 PINETREE DR STE 101, PLYMOUTH, MI 48170-3869
(734) 738-0897
Mailing address
44450 PINETREE DR STE 101, PLYMOUTH, MI 48170-3869
(734) 738-0897
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007956
MI
Other
Enumeration date
10/04/2022
Last updated
12/24/2023
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