Mitchell Thomas Wittenberg PH.D., LP

NPI 1457429466 - Psychologist - 103TC0700X

NPI Details
NPI 1457429466
Gender Male
Enumeration Date 11/30/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
JEWISH FAMILY SERVICE OF ST. PAUL
1633 WEST SEVENTH STREET
ST. PAUL MN, 55102, US
Phone (651) 698-0767
Fax (651) 698-0162
Business Location
687 DECORAH LN
MENDOTA HEIGHTS MN, 55120-1672, US
Phone (651) 454-0398
Fax (651) 698-0162
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP3061
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According to our database, Dr. Mitchell Thomas Wittenberg PH.D., LP NPI is 1457429466, taxonomy code is 103TC0700X and license number is LP3061, license state is located at Minnesota. Mitchell Thomas Wittenberg PH.D., LP physically located at Jewish Family Service Of St. Paul, St. Paul MN, 55102. NPI Number Mitchell Thomas Wittenberg PH.D., LP has the Individual type.

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1457429466 NPI number is provided on an as is basis without warranty of any kind. 1457429466 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell Thomas Wittenberg PH.D., LP are for informational purposes only.