Doctor Name: | MRS. ANNIE LEE PITTMAN |
NPI Number: | 1447509021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18351 |
Business Practice Address: | 4800 Brandenburg Lane The Colony, TX - 750562036 |
Business Phone Number: | 9726250990 |
Business Fax Number: | 9723509573 |
Mailing Address: | 4800 Brandenburg Lane, THE COLONY |
State: | TX |
Postal Code: | 750562036 |
Phone Number: | 9726250990 |
Fax Number: | 9723509573 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 18351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |