Doctor Name: | MRS. DEBORAH L. PETTITT |
NPI Number: | 1487718839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.C.,L.P.T.,R.P.T.S |
License Number: | LPC-2089 |
Business Practice Address: | 3603 N 7th Ave Phoenix, AZ - 850133638 |
Business Phone Number: | 6022341935 |
Business Fax Number: | 6022340022 |
Mailing Address: | 14244 N 50th St, SCOTTSDALE |
State: | AZ |
Postal Code: | 852542868 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-2089 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |