Individual
DR. JENNIFER DAWN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
119 JEFFERSON ST, GARRETT, PA 15542
(423) 653-5342
Mailing address
PO BOX 156, GARRETT, PA 15542-0156
(423) 653-5342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017029
PA
103TC1900X
Counseling Psychologist
P0000001892
TN
103TC1900X
Counseling Psychologist
PSY001915
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3685708
—
PA
Enumeration date
07/27/2006
Last updated
10/21/2024
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