Provider Demographics
NPI:1144917154
Name:PITTMAN, CHANTE LAVERN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHANTE
Middle Name:LAVERN
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHANTE
Other - Middle Name:LAVERN
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:46 INSLEY WAY
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5311
Mailing Address - Country:US
Mailing Address - Phone:202-909-3356
Mailing Address - Fax:
Practice Address - Street 1:10025 GOVERNOR WARFIELD PKWY STE 206
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3329
Practice Address - Country:US
Practice Address - Phone:443-274-4147
Practice Address - Fax:443-256-9455
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist