Organization
PSYCHIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA PITTS DO (PRESIDENT)
(248) 569-4290
Entity
Organization
Contact information
Practice address
15659 W 10 MILE RD, SOUTHFIELD, MI 48075-2188
(248) 569-4290
(248) 569-9478
Mailing address
15659 W 10 MILE RD, SOUTHFIELD, MI 48075-2188
(248) 569-4290
(248) 569-9478
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101009079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2756302514
BCBSM
—
Enumeration date
02/13/2008
Last updated
02/13/2008
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