Provider Demographics
NPI:1659565935
Name:PITT, GABRIEL J (AUD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:J
Last Name:PITT
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WINDWALK LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2222
Mailing Address - Country:US
Mailing Address - Phone:912-333-8084
Mailing Address - Fax:478-215-4447
Practice Address - Street 1:1258 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:THOMSON
Practice Address - State:GA
Practice Address - Zip Code:30824-7347
Practice Address - Country:US
Practice Address - Phone:912-333-8084
Practice Address - Fax:912-216-0212
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003780237600000X, 231H00000X, 231HA2400X, 231HA2500X
SCAUD3899231H00000X, 231HA2500X, 231HA2400X, 237600000X
FLAY2275231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier