Pittman, Amy R

Pittman, Amy R is an individual health care provider with primary practice located at 1659 S Breiel Blvd , Middletown OH 45044-6705. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pittman, Amy R can be contacted via phone (513) 424-0921.

Contact Information

Primary practice address
1659 S Breiel Blvd Middletown OH 45044-6705
Fax: (513) 424-4810
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I 10211 Ohio

Profile Details

NPI number 1740341619
LBN Legal business name Pittman, Amy R
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740341619 NPPES
Ohio MEDICAID MC0713

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