Individual
REBECCA SARAH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
180 5TH ST E, SAINT PAUL, MN 55101-2672
(651) 265-1337
(651) 265-1400
Mailing address
5256 ABBOTT AVE S, MINNEAPOLIS, MN 55410-2125
(612) 922-7052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3861
MN
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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