| Doctor Name: | MR. DANNY WHITEHEAD |
| NPI Number: | 1356552012 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 4370 |
| Business Practice Address: | 211 4th St Ne Ste 4 Devils Lake, ND - 583012479 |
| Business Phone Number: | 7016628255 |
| Business Fax Number: | 7016621739 |
| Mailing Address: | Po Box 883, DEVILS LAKE |
| State: | ND |
| Postal Code: | 583010883 |
| Phone Number: | 7016628255 |
| Fax Number: | 7016621739 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 10/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4370 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |