Individual
ALISON WITMER THIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
134 MAIN ST STE 202, PRINCE FREDERICK, MD 20678-6150
(301) 744-7775
Mailing address
3120 MAYBERRY AVE, HUNTINGTOWN, MD 20639-3910
(703) 568-0900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
04728
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561802
—
MD
Enumeration date
09/14/2009
Last updated
06/13/2023
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