Provider Demographics
NPI:1801136015
Name:PITTMAN, DELISHIA (PHD)
Entity type:Individual
Prefix:DR
First Name:DELISHIA
Middle Name:
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CONNECTICUT AVE, NW
Mailing Address - Street 2:STE. 402
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2527
Mailing Address - Country:US
Mailing Address - Phone:202-930-2134
Mailing Address - Fax:
Practice Address - Street 1:3000 CONNECTICUT AVE, NW
Practice Address - Street 2:STE 402
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-930-2134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
DCPSY1001105103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health