| Doctor Name: | RUTH H WHITLEY |
| NPI Number: | 1568521722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC,LMFT |
| License Number: | 0409 |
| Business Practice Address: | 5611 Highway 80 E Pearl, MS - 392088929 |
| Business Phone Number: | 6019396634 |
| Business Fax Number: | 6014209252 |
| Mailing Address: | 110 Cardinal Ln, BRANDON |
| State: | MS |
| Postal Code: | 390477785 |
| Phone Number: | 6018427449 |
| Fax Number: | 6014209252 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0409 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |