John P. Dewitt in Newburgh - Clinical

John P. Dewitt - NPI 1316929722

John P. Dewitt is a Clinical in Newburgh, Indiana. John P. Dewitt practices all healthcare services and medical treatments related to Clinical. The NPI Number for John P. Dewitt is 1316929722. The last update date is 2008-01-14.

John P. Dewitt's current location address is Po Box 1087, Newburgh, Indiana. You can contact this provider via phone number 8124286299 and fax number 8124905359. The mailing address for John P. Dewitt is Po Box 1087, Newburgh, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John P. Dewitt
Address Po Box 1087, Newburgh, Indiana
Phone Number 8124286299
Fax Number 8124905359
Sole Proprietor Y
Credentials PSY.D. HSP

NPI Number Detail

NPI Number 1316929722
Provider Enumeration Date 2005-11-19
Last Updated Date 2008-01-14

Provider Mailing Address Detail

Address Po Box 1087
City Newburgh
State Indiana (IN)
Post Code 476291087
Phone Number 8124286299
Fax Number 8124905359

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20040964A
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39796 IN ANTHEM INSURANCE CO

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FAQs about John P. Dewitt

What is the unique 10-digit identification code assigned to John P. Dewitt by the Centers for Medicare & Medicaid Services?

The John P. Dewitt has been issued the NPI (National Provider Identifier) 1316929722, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of John P. Dewitt?

The John P. Dewitt is situated at Po Box 1087, in the city of Newburgh, state of IN, with the zip code 476291087.

What is John P. Dewitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John P. Dewitt is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316929722 to John P. Dewitt?

The John P. Dewitt received its 1316929722 assignment from the Centers for Medicare & Medicaid Services on 2005-11-19.

As of what date were the details related to John P. Dewitt most recently updated or revised?

The information pertaining to John P. Dewitt, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-14.

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