Organization
PITTENGER FAMILY PSYCHOLOGY LLC
Active
Other names
Pittenger Family Psychology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS PITTENGER PSYD (SOLE MEMBER)
(513) 498-3865
Entity
Organization
Contact information
Practice address
7799 JOAN DR, WEST CHESTER, OH 45069-3682
(513) 204-5746
Mailing address
7799 JOAN DR, WEST CHESTER, OH 45069-3682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13624683
CAQH NUMBER
—
01
—
7353
OH PSYCHOLOGY LICENSE
OH
Enumeration date
02/13/2019
Last updated
02/13/2019
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