DR. David John Botkin, PHD

NPI #1487692620 in South Bend, Indiana

Provider Information

NPI Number: 1487692620
Entity Type: Individual
Name: DR. David John Botkin, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Jun 2, 2006
Last Updated: Jan 10, 2018

Practice Location

Address: 227 N DIXIE WAY STE 240
City: South Bend
State: Indiana
ZIP Code: 46637-3300
Phone: (574) 288-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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