Doctor Name: | MR. STEPHEN LEE WHITE |
NPI Number: | 1659401156 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCSW-2955 |
Business Practice Address: | 12600 N 113th Ave Ste C19 Youngtown, AZ - 853631125 |
Business Phone Number: | 6237640156 |
Business Fax Number: | 6238821731 |
Mailing Address: | 5528 W.irma Lane, GLENDALE |
State: | AZ |
Postal Code: | 853089343 |
Phone Number: | 6237640156 |
Fax Number: | 6238821731 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-2955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |