Individual
DR. MARTHA DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9 ALEXANDER AVE, BELMONT, MA 02478-4802
(617) 489-9302
Mailing address
9 ALEXANDER AVE, BELMONT, MA 02478-4802
(617) 489-9302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6205
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04957
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/15/2006
Last updated
08/28/2008
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