Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | PS005895L | PA |
NPI | 1538281894 |
---|---|
Provider Name | Dr. Michael Sittig |
First Address | Pittsburgh, PA 15217-1001 |
Second Address | Pittsburgh, PA 15232-1778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2007 |
Last Update Date | 08/07/2007 |