Doctor Name: | MRS. JULIE ANN WHITE |
NPI Number: | 1154471860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 264212-3501 |
Business Practice Address: | 475 N 300 W Ste 14 Kaysville, UT - 840373125 |
Business Phone Number: | 8016987059 |
Business Fax Number: | 8015939445 |
Mailing Address: | Po Box 1787, LAYTON |
State: | UT |
Postal Code: | 840416787 |
Phone Number: | 8016987059 |
Fax Number: | 8015939445 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 264212-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |