Doctor Name: | MRS. JEAN ELIZABETH WHITE |
NPI Number: | 1164643110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 691 |
Business Practice Address: | 1 Hospital Ct Windham Center Bellows Falls, VT - 051011489 |
Business Phone Number: | 8024631346 |
Business Fax Number: | |
Mailing Address: | 7 Miles Rd, AMHERST |
State: | NH |
Postal Code: | 030313027 |
Phone Number: | 6032495587 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 04/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |