| Doctor Name: | SCOTT WAYNE PITTMAN |
| NPI Number: | 1154623494 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 309 Rogers Ave Poteau, OK - 749534227 |
| Business Phone Number: | 9186475395 |
| Business Fax Number: | |
| Mailing Address: | Po Box 48, MEAD |
| State: | OK |
| Postal Code: | 734490048 |
| Phone Number: | 5807459610 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2010 |
| NPI Last Update Date: | 11/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |