Individual
DORRIAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4325 W ROME BLVD APT 1050, NORTH LAS VEGAS, NV 89084-5403
(702) 237-8063
Mailing address
4325 W ROME BLVD APT 1050, NORTH LAS VEGAS, NV 89084-5403
(702) 237-8063
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
5341-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272551403
—
NV
Enumeration date
06/30/2014
Last updated
06/30/2014
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