Doctor Name: | MR. DAVID TROY WHITEMAN |
NPI Number: | 1063580215 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSE, LPC |
License Number: | 2892 |
Business Practice Address: | 1155 N Elm St Platteville, WI - 538181207 |
Business Phone Number: | 6083484060 |
Business Fax Number: | 6083484191 |
Mailing Address: | 1155 Elm Street, PLATTEVILLE |
State: | WI |
Postal Code: | 538180036 |
Phone Number: | 6083484080 |
Fax Number: | 6083484191 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |