Individual
DR. PATRICIA A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2660 CRIMSON CANYON DR, STE 150, LAS VEGAS, NV 89128-0845
(702) 370-2636
Mailing address
PO BOX 370286, LAS VEGAS, NV 89137-0286
(702) 370-2636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY134
NV
103TC0700X
Clinical Psychologist
PY134
NV
103TC1900X
Counseling Psychologist
PY134
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2602064
—
NV
Enumeration date
01/19/2007
Last updated
09/25/2007
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