Doctor Name: | MR. MARVIN LEON DEWITT |
NPI Number: | 1609016021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. ED. QP |
License Number: | |
Business Practice Address: | 7900 Triad Center Dr Suite 350 Greensboro, NC - 274099073 |
Business Phone Number: | 3369311800 |
Business Fax Number: | |
Mailing Address: | 2820 Vanstory St, GREENSBORO |
State: | NC |
Postal Code: | 274074852 |
Phone Number: | 3362533758 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 03/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |