MEDICARE: DR. DEMIETRICE LYNETTE PITTMAN PHD

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	103TC0700X	Clinical Psychologist	49855	MS

General Provider Information

NPI Number	:	1669794038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEMIETRICE LYNETTE PITTMAN PHD

Provider Business Mailing Address
First Line	:	2503 DUNSTAN RD
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-7532
Country	:	US
Telephone Number	:	210-347-2047
Fax Number	:

Provider Business Practice Location Address
First Line	:	2503 DUNSTAN RD
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-7532
Country	:	US
Telephone Number	:	210-347-2047
Fax Number	:

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

Provider Enumeration Date	:	02/25/2010
Last Update Date	:	09/05/2024

Similar Medicare Providers

1154169381 — NV CARE PLLC
Practice Location Address:

3660 BARKER CYPRESS RD STE 210
HOUSTON, TX
77084-7532

Practice Phone: 832-478-4545
Practice Fax: 346-586-4132

1801601273 — SERENE WINGS OF WELLNESS CONCIERGE HEALTHCARE SERVICES LLC
Practice Location Address:

3660 BARKER CYPRESS RD STE 230
HOUSTON, TX
77084-7532

Practice Phone: 346-412-9168
Practice Fax:

1477146306 — PAUL LEE DO
Practice Location Address:

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-916-8666
Practice Fax: 210-916-8712

1952152431 — NATHANIEL THOMAS DEYO
Practice Location Address:

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-916-5000
Practice Fax: 210-916-2077

1033960596 — GRACE ANN LAREW DO
Practice Location Address:

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-292-3410
Practice Fax: 210-292-7868

1164233060 — EDWARD ANDREW RAUCH JR. DNP, APRN
Practice Location Address:

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504

Practice Phone: 908-752-3513
Practice Fax:

Directions to “ DR. DEMIETRICE LYNETTE PITTMAN PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.