MRS. BRYCE ANNE PITTENGER


Address: 315 Central Ave Nw, Suite A, Albuquerque, NM 87102-3437
Phone: 5053210176

MRS. BRYCE ANNE PITTENGER (NPI# 1245443118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245443118
Entity Type Individual
Full Name MRS. BRYCE ANNE PITTENGER
Credential LPCC
Practice Address 315 Central Ave Nw
Suite A
Albuquerque
NM 87102-3437
Practice Telephone 5053210176
Practice Fax Number 5052653608
Mailing Telephone 5053210176
Mailing Fax Number 5052653608
Enumeration Date 2007-05-08
Last Update Date 2013-09-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0078411 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 57326363 05

Office Location

Street Address 315 CENTRAL AVE NW
SUITE A
City ALBUQUERQUE
State NM
Zip Code 87102-3437

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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