Doctor Name: | DR. LEANNA S WHITE |
NPI Number: | 1063620714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 002397-1 |
Business Practice Address: | 125 Forest Pl Fredonia, NY - 140631701 |
Business Phone Number: | 7166733424 |
Business Fax Number: | 7166733140 |
Mailing Address: | Po Box 81, FREDONIA |
State: | NY |
Postal Code: | 140630081 |
Phone Number: | 7166727377 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 002397-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |