| Sol Pittenger Psyd Pc | |
|
888 Purchase St #303 New Bedford MA 02740-6260 | |
| (508) 991-7010 | |
| (508) 991-7010 |
| Full Name | Sol Pittenger Psyd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 888 Purchase St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Sol Pittenger (OWNER) |
| Authorized Official Contact | 5089917010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sol Pittenger Psyd Pc 888 Purchase St #303 New Bedford MA 02740-6260 Ph: (508) 991-7010 | Sol Pittenger Psyd Pc 888 Purchase St #303 New Bedford MA 02740-6260 Ph: (508) 991-7010 |
| NPI Number | 1023285871 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Medicare PECOS PAC ID | 5698707966 |
|---|---|
| Medicare Enrollment ID | O20050907001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023285871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7733 (Massachusetts) | Primary |
| Provider Name | Sol Pittenger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265590590 PECOS PAC ID: 6305878687 Enrollment ID: I20050912000201 |
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