Provider Demographics
NPI:1326188863
Name:PATRICIA L PITTS PHD, & ASSOCIATES, A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:PATRICIA L PITTS PHD, & ASSOCIATES, A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR,PHD CLINICAL PSH
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:323-255-0400
Mailing Address - Street 1:766 COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041
Mailing Address - Country:US
Mailing Address - Phone:323-255-0400
Mailing Address - Fax:323-255-0177
Practice Address - Street 1:766 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041
Practice Address - Country:US
Practice Address - Phone:323-255-0400
Practice Address - Fax:323-255-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty