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Individual

DR. GREGORY ADAM WITKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(646) 754-9538
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4000
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
B1-0001105
DE
103T00000X
Psychologist
021232
NY
103TC2200X
Clinical Child & Adolescent Psychologist
35S100566000
NJ

Other

Enumeration date
08/17/2015
Last updated
11/29/2017
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