OrganizationGary D Hittle PhdMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020(619) 464-7771PECOS EnrollmentBased on the most recent information from CMS, provider Gary D Hittle Phd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1679655369Provider TypeOrganizationFull NameGary D Hittle PhdSubpartNoEnumeration Date10/20/2006Last Updated8/9/2024Contact InformationPractice LocationPractice Address5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020Phone(619) 464-7771Fax(619) 464-7772Mailing LocationMailing Address5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020Phone(619) 464-7771Fax(619) 464-7772Authorized OfficialNameHittle, Gary Dean (Officer)Phone(619) 464-7771Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC7065California