Provider Demographics
NPI:1831107721
Name:PITT, CHRISTINE ADRIANNE (MFT MA)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ADRIANNE
Last Name:PITT
Suffix:
Gender:F
Credentials:MFT MA
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ADRIANNE
Other - Last Name:SZYMANSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2045 WEST 182ND ST
Mailing Address - Street 2:A
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504
Mailing Address - Country:US
Mailing Address - Phone:310-327-6420
Mailing Address - Fax:310-327-6420
Practice Address - Street 1:2045 WEST 182ND ST
Practice Address - Street 2:A
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504
Practice Address - Country:US
Practice Address - Phone:310-327-6420
Practice Address - Fax:310-327-6420
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28653103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist