Kevin J Witham is a Clinical in Woburn, Massachusetts. Kevin J Witham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin J Witham is 1437202306. The last update date is 2007-07-08.
Kevin J Witham's current location address is 12 Alfred St, Woburn, Massachusetts. You can contact this provider via phone number 7816460500 and fax number 7816467130. The mailing address for Kevin J Witham is 12 Alfred St, Woburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J Witham |
|---|---|
| Address | 12 Alfred St, Woburn, Massachusetts |
| Phone Number | 7816460500 |
| Fax Number | 7816467130 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1437202306 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12 Alfred St |
|---|---|
| City | Woburn |
| State | Massachusetts (MA) |
| Post Code | 18011915 |
| Phone Number | 7816460500 |
| Fax Number | 7816467130 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 8413 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8413 | MA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kevin J Witham by the Centers for Medicare & Medicaid Services?
The Kevin J Witham has been issued the NPI (National Provider Identifier) 1437202306 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kevin J Witham is located?
The Kevin J Witham is situated at the following address: 12 Alfred St, Woburn, MA, 18011915.
What is Kevin J Witham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin J Witham's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Kevin J Witham receive its 1437202306?
The Kevin J Witham was issued its 1437202306 on 2007-01-22, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kevin J Witham most recently updated or revised?
The details related to Kevin J Witham, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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