Individual
MR. RICHARD B DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
781 BLACK OAK DR, SUITE 101, MEDFORD, OR 97504-9502
(541) 789-4255
(541) 789-5820
Mailing address
781 BLACK OAK DRIVE, SUITE 101, MEDFORD, OR 97504
(541) 789-4255
(541) 789-5820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10495
OR
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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