Individual provider · Type 1 NPI
David Frederick Widitz, MD
Child & Adolescent Psychiatry Physician · Council Bluffs, IA
NPI number
1205015906
Active
Practice location
421 W Broadway Ste 302
Council Bluffs, IA 51503-9046
Fax (319) 208-2627
Other practice locations
- 707 N Logan Ave, Danville, IL 61832-4360 · (217) 431-7117
- 101 Oliver St, Vienna, IL 62995-1660 · (618) 658-3079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 036166942 (IL) |
| Psychiatry Physician | 2084P0800X | 37338 (IA) |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 37338 (IA) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 036166942 (IL) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2 other providers at this address
About NPI 1205015906
David Frederick Widitz, MD's National Provider Identifier is 1205015906, issued on Oct 30, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Council Bluffs, IA. The record was last updated on Feb 1, 2024.