Doctor Name: | CARL P WHITE |
NPI Number: | 1013105576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | Q1-0000893 |
Business Practice Address: | 17052 Turtle Hl Milford, DE - 199637600 |
Business Phone Number: | 3027458450 |
Business Fax Number: | |
Mailing Address: | 17052 Turtle Hl, MILFORD |
State: | DE |
Postal Code: | 199637600 |
Phone Number: | 3027458450 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 10/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | Q1-0000893 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |