Basic Information
| Provider Information | |||||||||
| NPI: | 1386884070 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WITTMEIER | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | III | ||||||||
| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 126 | ||||||||
| Address2: | |||||||||
| City: | PELHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 351240126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056850373 | ||||||||
| FaxNumber: | 2056850393 | ||||||||
| Practice Location | |||||||||
| Address1: | 3156 PELHAM PKWY | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | PELHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 351242022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056859535 | ||||||||
| FaxNumber: | 2057558882 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2009 | ||||||||
| LastUpdateDate: | 05/10/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 2564 | AL | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.