| Organization Name: | SOL PITTENGER PSYD PC |
| NPI Number: | 1023285871 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOL PITTENGER (OWNER) |
| Mailing Address: | 888 Purchase St #303 New Bedford |
| State: | MA US |
| Postal Code: | 027406260 |
| Phone Number: | 5089917010 |
| Fax Number: | 5089917010 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 05/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 7733 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |