Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARTY P. WITUCKI, PH.D.
ActiveDR. MARTY P. WITUCKI, PH.D. is a Clinical Psychologist healthcare provider located in GRAVETTE, Arkansas. NPI 1477587772 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GRAVETTE, AR
Registration Details
- NPI Number
- 1477587772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.141890755617 yrs)
- Last Updated
- May 22, 2025
- Licenses
-
263 (ND)16-22P (AR)
Practice Information
- Address
-
1101 JACKSON ST SWGRAVETTE, AR, 727369121Browse AR providers · Browse ZIP 72736
- Phone
- 4797875221
- Fax
- 4797875613
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
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.