| Doctor Name: | MS. AMY JO WHITE |
| NPI Number: | 1063587897 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.P.C. |
| License Number: | LC2138 |
| Business Practice Address: | 2931 Olney Sandy Spring Rd F Olney, MD - 208321527 |
| Business Phone Number: | 3017759661 |
| Business Fax Number: | 3018306862 |
| Mailing Address: | 18209 Leman Lake Dr, 508b OLNEY |
| State: | MD |
| Postal Code: | 208323000 |
| Phone Number: | 3017759661 |
| Fax Number: | 3018306862 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC2138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |