Individual
DR. RICHARD ALLEN WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
444 S UNION ST, BURLINGTON, VT 05401-4859
(802) 658-2455
(802) 658-2455
Mailing address
444 S UNION ST, BURLINGTON, VT 05401-4859
(802) 658-2455
(802) 658-2455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
VT644
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105560
—
VT
01
—
28855
BCBS
VT
Enumeration date
07/14/2006
Last updated
07/08/2007
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