Organization
MARK WHITE, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WHITE PH.D. (LICENSED PSYCHOLOGIST)
(732) 528-7844
Entity
Organization
Contact information
Practice address
2517 HIGHWAY 35, BUILDING J, SUITE 101, MANASQUAN, NJ 08736-1918
(732) 528-7844
(732) 528-0040
Mailing address
2517 HIGHWAY 35, BUILDING J, SUITE 101, MANASQUAN, NJ 08736-1918
(732) 528-7844
(732) 528-0040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00156500
NJ
Other
Enumeration date
11/29/2010
Last updated
12/16/2010
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