Provider Demographics
NPI:1992819098
Name:LITOWITZ, MERLE R (PHD)
Entity type:Individual
Prefix:
First Name:MERLE
Middle Name:R
Last Name:LITOWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MERLE
Other - Middle Name:
Other - Last Name:HARLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:380 MAPLE AVE W
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-5620
Mailing Address - Country:US
Mailing Address - Phone:703-255-3400
Mailing Address - Fax:703-255-3400
Practice Address - Street 1:380 MAPLE AVE W
Practice Address - Street 2:SUITE 200
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-5620
Practice Address - Country:US
Practice Address - Phone:703-255-3400
Practice Address - Fax:703-255-3400
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001645103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical