Individual
DR. MICHELLE M. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
325 S UNIVERSITY RD, SUITE 202, SPOKANE VALLEY, WA 99206-5227
(509) 534-9380
(509) 534-9385
Mailing address
325 S UNIVERSITY RD, STE 202, SPOKANE VALLEY, WA 99206-6164
(509) 534-9380
(509) 534-9385
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY00001933
WA
103T00000X
Psychologist
PY00001933
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167166
DEPT. OF LABOR & IND.
WA
01
—
16167529199202 A001
TRICARE
WA
01
—
225446225446
PREMERA
WA
01
—
605442300
U.S. DEPT. OF LABOR
WA
Enumeration date
12/12/2006
Last updated
01/23/2018
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