Kimberly Witczak
Psychologist
7827 Wise Ave
Dundalk
, Maryland 21222-3339
Kimberly Witczak
Psychologist
7827 Wise Ave
Dundalk
, Maryland 21222-3339
(410) 282-7222
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Kimberly Witczak
- 7827 Wise Ave
- Dundalk, MD
- Zip : 21222-3339
- Phone : (410) 282-7222
Second Address
- Kimberly Witczak
- 7827 Wise Ave
- Dundalk, MD
- Zip : 21222-3339
- Phone : (410) 282-7222
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 04397 | MD |
| Y | 103T00000X | Psychologist | 04397 | MD |
National Provider Identifier
| NPI | 1013196567 |
|---|---|
| Provider Name | Kimberly Witczak |
| First Address | Dundalk, MD 21222-3339 |
| Second Address | Dundalk, MD 21222-3339 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2007 |
| Last Update Date | 01/11/2007 |
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.