Provider Demographics
NPI:1467038851
Name:WITT-DOERRING PSYCHIATRIC CONSULTING, LLC
Entity Type:Organization
Organization Name:WITT-DOERRING PSYCHIATRIC CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WITT-DOERRING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-244-2466
Mailing Address - Street 1:345 W 600 S STE 147
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-2247
Mailing Address - Country:US
Mailing Address - Phone:435-800-4047
Mailing Address - Fax:985-244-2466
Practice Address - Street 1:345 W 600 S STE 147
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-2247
Practice Address - Country:US
Practice Address - Phone:435-800-4047
Practice Address - Fax:985-244-2466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty