| Doctor Name: | DR. DAVID MORRIS PITTLE |
| NPI Number: | 1003025495 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH. D. |
| License Number: | |
| Business Practice Address: | 85 Merrydale Rd San Rafael, CA - 949034045 |
| Business Phone Number: | 4154793945 |
| Business Fax Number: | |
| Mailing Address: | 369b 3rd St # 408, SAN RAFAEL |
| State: | CA |
| Postal Code: | 949013581 |
| Phone Number: | 4154793945 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |