Doctor Name: | DR. JENNIFER DAWN WHITE |
NPI Number: | 1013931583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | P0000001892 |
Business Practice Address: | 207 Sunapee Dr Johnstown, PA - 159043615 |
Business Phone Number: | 4236535342 |
Business Fax Number: | |
Mailing Address: | 207 Sunapee Dr, JOHNSTOWN |
State: | PA |
Postal Code: | 159043615 |
Phone Number: | 4236535342 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | P0000001892 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |