| Doctor Name: | DR. MARTHA LILLIAN WHITE |
| NPI Number: | 1306877212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1010 |
| Business Practice Address: | 14323 Ocean Hwy Suite 4111 Pawleys Island, SC - 295854817 |
| Business Phone Number: | 8432359960 |
| Business Fax Number: | |
| Mailing Address: | 423 Parker Dr, #325 PAWLEYS ISLAND |
| State: | SC |
| Postal Code: | 295857501 |
| Phone Number: | 8432371934 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 1010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |