Doctor Name: | MS. CAROLYN GIBBS WHITNEY |
NPI Number: | 1043221427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | R027330-1 |
Business Practice Address: | 1177 County Route 23 Granville, NY - 128322718 |
Business Phone Number: | 5186422708 |
Business Fax Number: | 5186423988 |
Mailing Address: | 1177 County Route 23, GRANVILLE |
State: | NY |
Postal Code: | 128322718 |
Phone Number: | 5186422708 |
Fax Number: | 5186423988 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R027330-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |