Individual
JOHN PITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
149 HART STREET, 82 MEDICAL GROUP/ CREDENTIALS, SHEPPARD AFB, TX 76311-3482
(940) 676-6509
Mailing address
149 HART ST, SUITE 3, SHEPPARD AFB, TX 76311-3477
(940) 676-7636
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
31440
TX
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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