Provider Demographics
NPI:1205932597
Name:TRACI B PITTS PHD INC
Entity type:Organization
Organization Name:TRACI B PITTS PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:BICE
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:775-352-3898
Mailing Address - Street 1:325 FLINT STREET
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501
Mailing Address - Country:US
Mailing Address - Phone:775-352-3898
Mailing Address - Fax:775-329-9935
Practice Address - Street 1:325 FLINT STREET
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501
Practice Address - Country:US
Practice Address - Phone:775-352-3898
Practice Address - Fax:775-329-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty