Organization · NPI-2
Georgann Witte, Phd,llc
Point of Service · Hamden, CT
NPI number1003597782
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1003597782
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgann Witte, Phd,llc
- Organization subpart
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 26, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
295 Washington Ave Ste 11Hamden, CT 06518-3025
Phone 475-241-3767
Mailing address
295 Washington Ave Ste 11Hamden, CT 06518-3025
Phone 475-241-3767
Authorized official
Georgann Witte
Psychologist/Owner
4752413767
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