Doctor Name: | DEIDRE W. WHITTLE |
NPI Number: | 1093017329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DEIDRE WHITTLE, LPC |
License Number: | 0701004950 |
Business Practice Address: | 16007 Henry Forest Way Montpelier, VA - 231922952 |
Business Phone Number: | 8044021611 |
Business Fax Number: | 8048836443 |
Mailing Address: | 16007 Henry Forest Way, MONTPELIER |
State: | VA |
Postal Code: | 231922952 |
Phone Number: | 8044021611 |
Fax Number: | 8048836443 |
NPI Enumeration Date: | 11/18/2010 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |