Doctor Name: | MR. STEPHEN GEOFFREY WHITE |
NPI Number: | 1851593982 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 44SC04609600 |
Business Practice Address: | 70 S Main St Ste 1c Cranbury, NJ - 085123140 |
Business Phone Number: | 6096550420 |
Business Fax Number: | 6096558721 |
Mailing Address: | Po Box 278, 70 South Main Street, Rear CRANBURY |
State: | NJ |
Postal Code: | 085120278 |
Phone Number: | 6096550420 |
Fax Number: | 6096558721 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC04609600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |