Individual
SOPHIA WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6325 MOHICAN DR, POWELL, OH 43065-8711
(440) 479-6398
Mailing address
6325 MOHICAN DR, POWELL, OH 43065-8711
(440) 479-6398
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
OH3175653
OH
103TS0200X
School Psychologist
Primary
SP.00661
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083160998
—
OH
Enumeration date
08/31/2016
Last updated
11/12/2020
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