Dr. Sarah Lietzow Witherell
Clinical Child & Adolescent Psychologist
2751 E Jefferson Ave
Detroit
, Michigan 48207-4180
Dr. Sarah Lietzow Witherell
Clinical Child & Adolescent Psychologist
2751 E Jefferson Ave
Detroit
, Michigan 48207-4180
(313) 324-8782
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Sarah Lietzow Witherell
- 101 E Alexandrine St
- Detroit, MI
- Zip : 48201-2011
- Fax : (313) 324-8782
- Phone : (313) 831-5535
Second Address
- Dr. Sarah Lietzow Witherell
- 2751 E Jefferson Ave
- Detroit, MI
- Zip : 48207-4180
- Fax : (313) 993-3421
- Phone : (313) 993-3434
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301015705 | MI |
National Provider Identifier
| NPI | 1083921563 |
|---|---|
| Provider Name | Dr. Sarah Lietzow Witherell |
| First Address | Detroit, MI 48201-2011 |
| Second Address | Detroit, MI 48207-4180 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2010 |
| Last Update Date | 13/03/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.