Individual
DR. TIMOTHY JOHN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
532 MEADOWLARK LN, NEWTON, KS 67114-5602
(646) 541-1480
Mailing address
532 MEADOWLARK LN, NEWTON, KS 67114-5602
(646) 541-1480
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1886
KS
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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