MEDICARE: MS. JOYCE M. PITTMAN M.A., LPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	1972	NC

General Provider Information

NPI Number	:	1174846208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOYCE M. PITTMAN M.A., LPA

Provider Business Mailing Address
First Line	:	206 COLUMBIA DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-7503
Country	:	US
Telephone Number	:	910-347-1053
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 COLUMBIA DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-7503
Country	:	US
Telephone Number	:	910-545-9589
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2010
Last Update Date	:	03/30/2025

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