Doctor Name: | DR. PATRICIA DIANE WHITT |
NPI Number: | 1063491884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 1823 |
Business Practice Address: | 21000 Torrence Chapel Rd Suite 200 Cornelius, NC - 280316873 |
Business Phone Number: | 7048966068 |
Business Fax Number: | |
Mailing Address: | 21000 Torrence Chapel Rd, Suite 200 CORNELIUS |
State: | NC |
Postal Code: | 280316873 |
Phone Number: | 7048966068 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |