| Doctor Name: | CYNTHIA WITT |
| NPI Number: | 1063777381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1114 |
| Business Practice Address: | 107 Pennsylvania Ave Seaford, DE - 199733817 |
| Business Phone Number: | 3026297900 |
| Business Fax Number: | |
| Mailing Address: | 835 Springdale Dr, Suite 100 EXTON |
| State: | PA |
| Postal Code: | 193412841 |
| Phone Number: | 6103631488 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2012 |
| NPI Last Update Date: | 07/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |