| Doctor Name: | ANGIE WITMAN |
| NPI Number: | 1295814358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT, LMLP |
| License Number: | 0335 |
| Business Practice Address: | 100 E College Dr Colby, KS - 677013702 |
| Business Phone Number: | 8002047593 |
| Business Fax Number: | 7858996303 |
| Mailing Address: | 2099 N Collins Blvd, Suite 100 RICHARDSON |
| State: | TX |
| Postal Code: | 750802698 |
| Phone Number: | 9724374698 |
| Fax Number: | 9726712087 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0335 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |