Doctor Name: | MARTHA K PITTS |
NPI Number: | 1144257353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I0008482 |
Business Practice Address: | 4466 Darrow Road Ste 4b Stow, OH - 442244338 |
Business Phone Number: | 3306886921 |
Business Fax Number: | 3306884470 |
Mailing Address: | 77 Atterbury Blvd, #308 HUDSON |
State: | OH |
Postal Code: | 442362819 |
Phone Number: | 2163374510 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0008482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |