Individual
DR. MICHAEL R PITTS
Active
Individual
DR. MICHAEL R PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1052
NM
103TC0700X
Clinical Psychologist
Primary
PSY001830
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000629978A
—
GA
05
—
13938835
—
NM
01
—
NOT APPLICABLE
MESA MENTAL HEALTH
NM
Enumeration date
02/01/2007
Last updated
03/11/2017
Update your record
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