Individual
DAVID EUGENE WHITEHEAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 BELLE CHASSE HWY STE 150, GRETNA, LA 70053-6733
(504) 362-9010
Mailing address
509 FOS AVE, HARVEY, LA 70058-2715
(941) 724-4009
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/24/2021
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