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Organization

MICHAEL R. PITTS, PSY.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL R. PITTS PSY.D. (PRESIDENT)
(575) 522-5466
Entity
Organization

Contact information

Practice address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
Mailing address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1052
NM

Other

Enumeration date
10/01/2008
Last updated
10/01/2008
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