Individual
DR. JOHN P. DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D. HSPP
Contact information
Practice address
4770 COVERT AVE, SUITE 201, EVANSVILLE, IN 47714-5663
(812) 428-6299
Mailing address
5233 TARRYTOWN RD, NEWBURGH, IN 47630-2041
(812) 428-6299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040964A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039796
ANTHEM INSURANCE CO
IN
05
—
200014390
—
IN
Enumeration date
11/19/2005
Last updated
08/21/2024
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