Provider Demographics
NPI:1760452866
Name:PITTS, WILLIAM PAUL (PHD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PAUL
Last Name:PITTS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 MURDOCH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1234
Mailing Address - Country:US
Mailing Address - Phone:412-687-1688
Mailing Address - Fax:412-687-4868
Practice Address - Street 1:4716 ELLSWORTH AVE APT 219
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2842
Practice Address - Country:US
Practice Address - Phone:412-687-4342
Practice Address - Fax:412-687-4868
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006827L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA517500Medicare ID - Type Unspecified