| Doctor Name: | DR. JENNIFER LYNN WHITE-BAUGHAN |
| NPI Number: | 1427293646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1052 |
| Business Practice Address: | 222 West Coleman Blvd. Mt. Pleasant, SC - 294643133 |
| Business Phone Number: | 8082687322 |
| Business Fax Number: | |
| Mailing Address: | 222west Coleman Blvd., MT. PLEASANT |
| State: | SC |
| Postal Code: | 29464 |
| Phone Number: | 8082687322 |
| Fax Number: | |
| NPI Enumeration Date: | 12/03/2008 |
| NPI Last Update Date: | 06/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1052 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |