| Doctor Name: | MS. MARTHA WHITE |
| NPI Number: | 1003008004 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3306 W Catalina Dr Phoenix, AZ - 850175291 |
| Business Phone Number: | 6023530703 |
| Business Fax Number: | 6023530715 |
| Mailing Address: | 4220 N 20th Ave, PHOENIX |
| State: | AZ |
| Postal Code: | 850155101 |
| Phone Number: | 6022797655 |
| Fax Number: | 6022415756 |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 08/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |