Doctor Name: | GAY LYN WHITE |
NPI Number: | 1154469757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5811058-6004 |
Business Practice Address: | 431 W 600 N Tremonton, UT - 843372411 |
Business Phone Number: | 4357303888 |
Business Fax Number: | 4352575436 |
Mailing Address: | 431 W 600 N, TREMONTON |
State: | UT |
Postal Code: | 843372411 |
Phone Number: | 4357303888 |
Fax Number: | 4352575436 |
NPI Enumeration Date: | 02/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5811058-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |