Pitlick, Judith L.

Pitlick, Judith L. is an individual health care provider with primary practice located at 19910 Malvern Rd , Shaker Heights OH 44122-2823. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pitlick, Judith L. can be contacted via phone (216) 991-4472.

Contact Information

Primary practice address
19910 Malvern Rd Shaker Heights OH 44122-2823
Phone: (216) 991-4472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-0000568 Ohio
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X E-0000568 Ohio

Profile Details

NPI number 1124247994
LBN Legal business name Pitlick, Judith L.
Credentials M.A., L.P.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 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 1124247994 NPPES
Ohio Other 000000361477 BCBS NUMBER

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