Doctor Name: | DR. JOHN HUBERT WHITE |
NPI Number: | 1306000419 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 35SI00399900 |
Business Practice Address: | 11 E Church St Absecon, NJ - 082012116 |
Business Phone Number: | 6092263202 |
Business Fax Number: | 6097482212 |
Mailing Address: | 11 E Church St, ABSECON |
State: | NJ |
Postal Code: | 082012116 |
Phone Number: | 6092263202 |
Fax Number: | 6097482212 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35SI00399900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |