Individual
DR. STEPHEN DOUGLAS PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 375-0298
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 375-0298
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PY5927
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY5927
FL
103TF0200X
Forensic Psychologist
PY5927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002853300
—
FL
Enumeration date
04/09/2008
Last updated
12/14/2015
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