| Doctor Name: | CHERYL LYNN WHITE |
| NPI Number: | 1336567205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | CW012054 |
| Business Practice Address: | 2201 Pennsylvania Ave Suite 101 Philadelphia, PA - 191303513 |
| Business Phone Number: | 2155637806 |
| Business Fax Number: | |
| Mailing Address: | 1601 Spring Garden St, Apt 213 PHILADELPHIA |
| State: | PA |
| Postal Code: | 191303940 |
| Phone Number: | 2155637806 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2014 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | CW012054 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |