| Doctor Name: | MRS. JESSIE GOODE WHITE |
| NPI Number: | 1831307263 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH LANG PATH |
| License Number: | 22000301A |
| Business Practice Address: | 1000 114th St Whiting, IN - 463941048 |
| Business Phone Number: | 2196592770 |
| Business Fax Number: | |
| Mailing Address: | 4902 Euclid Ave, EAST CHICAGO |
| State: | IN |
| Postal Code: | 463123743 |
| Phone Number: | 2193981292 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 22000301A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |