Individual
DR. JOHN WALTER BEITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2000 KINGSTON ST, WHITE LAKE, MI 48386-1613
(412) 398-7383
Mailing address
2000 KINGSTON ST, WHITE LAKE, MI 48386-1613
(412) 398-7383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC004819
PA
103TC0700X
Clinical Psychologist
Primary
6301015335
MI
103TC0700X
Clinical Psychologist
PS017237
PA
Other
Enumeration date
04/21/2008
Last updated
03/17/2017
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