Provider Demographics
NPI:1538632229
Name:PITTS, DONNA LYNN (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LYNN
Last Name:PITTS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 BENNETT PL
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-5772
Mailing Address - Country:US
Mailing Address - Phone:410-617-2936
Mailing Address - Fax:
Practice Address - Street 1:1208 BENNETT PL
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-5772
Practice Address - Country:US
Practice Address - Phone:410-617-2936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-06
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00617231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist