Organization
WITHAM AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE WITHAM (PRESIDENT)
(216) 661-4577
Entity
Organization
Contact information
Practice address
7575 NORTHCLIFF AVE, SUITE 201, BROOKLYN, OH 44144-3267
(216) 661-4577
Mailing address
7575 NORTHCLIFF AVE, SUITE 201, BROOKLYN, OH 44144-3267
(216) 661-4577
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35-081587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3011396
—
OH
Enumeration date
09/30/2009
Last updated
03/03/2010
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