DR. Theodore Fred Witzig JR., PH.D.

NPI #1063760007 in Morton, Illinois

Provider Information

NPI Number
1063760007
Entity Type
Individual
Name
DR. Theodore Fred Witzig JR., PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Aug 23, 2012
Last Updated
Aug 23, 2012

Practice Location

Address
515 E HIGHLAND ST
City
Morton
ZIP Code
61550-9501
Phone
(309) 263-5536

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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