Individual
DR. RUTH WITTERSGREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1666 32ND STREET, NW, #1, WASHINGTON, DC 20007
(202) 407-3042
(202) 333-2525
Mailing address
1666 32ND ST NW, #1, WASHINGTON, DC 20007
(202) 407-3042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810003439
VA
103TC0700X
Clinical Psychologist
Primary
PSY1000580
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010103860
—
VA
01
—
374723
ANTHEM BLUE SHIELD
—
Enumeration date
05/16/2006
Last updated
07/21/2022
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