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Individual

DR. MICHAEL R PITTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
11285 ELKINS RD, SUITE D3, ROSWELL, GA 30076-1259
(770) 990-7932
Mailing address
11285 ELKINS RD, SUITE D3, ROSWELL, GA 30076-1259
(770) 990-7932

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
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