Individual
STEPHANIE PITUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP5802
MN
103T00000X
Psychologist
Primary
PSY.0006419
CO
Other
Enumeration date
09/05/2013
Last updated
08/01/2024
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