Doctor Name: | MRS. REBECCA WHITING |
NPI Number: | 1194068346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., TLPC |
License Number: | 1725-226 |
Business Practice Address: | 13700 W National Ave New Berlin, WI - 531519521 |
Business Phone Number: | 4147086954 |
Business Fax Number: | |
Mailing Address: | 13700 W National Ave, NEW BERLIN |
State: | WI |
Postal Code: | 531519521 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/05/2013 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1725-226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |