Individual
DR. RICHARD GREGORY WIRTZ
Active
Individual
DR. RICHARD GREGORY WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02027
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001127
VALUE OPTIONS ID#
MD
01
—
30956
MAMSI/UBH ID#
MD
01
—
31166
JOHNS HOPKINS ID#
MD
01
—
61-45371
UBH ID#
MD
01
—
68134
AMERICAN PSYCH SYSTEM #
MD
01
—
LT86-399909-03
BCBS LOCAL GROUP #
MD
01
—
T4180001
BLUE CROSS NAT GROUP #
MD
Enumeration date
08/22/2006
Last updated
04/08/2016
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