Individual
MARGARET WITECKI
Active
Individual
MARGARET WITECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2315
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0510939
—
MA
01
—
170835
MAGELLAN
MA
01
—
W02583
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
06/12/2006
Last updated
09/20/2011
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