Individual provider · Type 1 NPI

Mitchell Thomas Wittenberg, PhD, LP

Clinical Psychologist · St. Paul, MN

NPI number 1457429466 Active

Practice location

Jewish Family Service Of St. Paul, 1633 West Seventh Street
St. Paul, MN 55102

Fax (651) 698-0162

Mailing address

687 Decorah Ln
Mendota Heights, MN 55120-1672

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP3061 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1457429466

Mitchell Thomas Wittenberg, PhD, LP's National Provider Identifier is 1457429466, issued on Nov 30, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Paul, MN. The record was last updated on Jul 9, 2007.