Provider Demographics
NPI:1851114391
Name:PITMAN, EMMA SUE
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:SUE
Last Name:PITMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 SKY MOUNTAIN DR APT D213
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-8141
Mailing Address - Country:US
Mailing Address - Phone:775-467-0999
Mailing Address - Fax:
Practice Address - Street 1:1680 SKY MOUNTAIN DR APT D213
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-8141
Practice Address - Country:US
Practice Address - Phone:775-467-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician