Individual
BETHANNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
390 E BOOT RD, WEST CHESTER, PA 19380-1222
(610) 431-8169
Mailing address
390 E BOOT RD, WEST CHESTER, PA 19380-1222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015713
PA
Other
Enumeration date
07/16/2017
Last updated
07/16/2017
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