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General NPI Number Information
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NPI Number | 1154330132
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Entity Type | Individual
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Provider Name | GEORGANN WITTE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 295 WASHINGTON AVE SUITE 11
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City | HAMDEN
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State | CT
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Zip | 06518-3025
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Country | US
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Telephone | 475-241-3767
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Fax | 203-281-0235
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Provider Business Mailing Address
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Address Line | 295 WASHINGTON AVE SUITE 11
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City | HAMDEN
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State | CT
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Zip | 06518-3025
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Country | US
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Telephone | 475-241-3767
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Fax | 203-281-0235
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 001730
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License Number State | CT
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