Doctor Name: | MS. CYNTHIA VELERIANEE WHITE |
NPI Number: | 1023201233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.P.C. |
License Number: | LC4194 |
Business Practice Address: | 2240 Bridle Path Dr Waldorf, MD - 206012944 |
Business Phone Number: | 3016380140 |
Business Fax Number: | |
Mailing Address: | 2240 Bridle Path Dr, WALDORF |
State: | MD |
Postal Code: | 206012944 |
Phone Number: | 3016380140 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC4194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |