Provider Demographics
NPI:1285793703
Name:PITTS, CLAUDIA G (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:G
Last Name:PITTS
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 1:1 GOLFVIEW RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-1210
Mailing Address - Country:US
Mailing Address - Phone:847-726-2400
Mailing Address - Fax:
Practice Address - Street 1:350 SURRYSE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3217
Practice Address - Country:US
Practice Address - Phone:847-726-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-004840103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist