Individual
LISA PITTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
500 8TH AVE, TERRE HAUTE, IN 47804-4072
(812) 231-8437
(812) 231-8208
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
(812) 231-8323
(812) 231-8400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041936
IN
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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