Doctor Name: | DR. KRISTI E. WHITE |
NPI Number: | 1003252842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., LP |
License Number: | LP5849 |
Business Practice Address: | 2700 E Lake St Minneapolis, MN - 554061963 |
Business Phone Number: | 6128736963 |
Business Fax Number: | 6122760188 |
Mailing Address: | 2700 E Lake St, MINNEAPOLIS |
State: | MN |
Postal Code: | 554061963 |
Phone Number: | 6128736963 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP5849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |