| Doctor Name: | AMY PULITZER |
| NPI Number: | 1508106766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, MFT |
| License Number: | 50956 |
| Business Practice Address: | 181 Laneda Ave. Manzanita, OR - 97130 |
| Business Phone Number: | 5032721599 |
| Business Fax Number: | |
| Mailing Address: | Po Box 29, MANZANITA |
| State: | OR |
| Postal Code: | 971300029 |
| Phone Number: | 8182120091 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2013 |
| NPI Last Update Date: | 02/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 50956 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |