Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE FRED WITZIG JR., PH.D.
ActiveDR. THEODORE FRED WITZIG JR., PH.D. is a Clinical Psychologist healthcare provider located in MORTON, Illinois. NPI 1063760007 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MORTON, IL
Registration Details
- NPI Number
- 1063760007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2012 (13.951106306272 yrs)
- Last Updated
- Aug 23, 2012
- License
-
071.006946 (IL)
Practice Information
- Address
-
515 E HIGHLAND STMORTON, IL, 615509501Browse IL providers · Browse ZIP 61550
- Phone
- 3092635536
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MORTON, IL
| Name | Credential | NPI |
|---|---|---|
| EUGENE D VACCARO | PSYD | 1144333485 |
| DR. NICOLE PACHECO | — | 1265767941 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.