Individual
DR. JEANETTE MARIE WITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7981 EASTERN AVE, SUITE C-5, SILVER SPRING, MD 20910-4834
(301) 587-1919
(301) 587-2943
Mailing address
7981 EASTERN AVE, SUITE C-5, SILVER SPRING, MD 20910-4834
(301) 587-1919
(301) 587-2943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02263
MD
103TC0700X
Clinical Psychologist
PSY1728
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310178200
ACS OWCP PROVIDER NUMBER
—
Enumeration date
10/13/2006
Last updated
01/20/2010
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