Pettitt, Deborah L.

Pettitt, Deborah L. is an individual health care provider with primary practice located at 3603 N 7Th Ave , Phoenix AZ 85013-3638. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Pettitt, Deborah L. can be contacted via phone (602) 234-1935.

Contact Information

Primary practice address
3603 N 7Th Ave Phoenix AZ 85013-3638
Phone: (602) 234-1935
Fax: (602) 234-0022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-2089 Arizona

Profile Details

NPI number 1487718839
LBN Legal business name Pettitt, Deborah L.
Credentials M.C.,L.P.T.,R.P.T.S
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1487718839 NPPES
Arizona MEDICAID 649072

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