Individual
JUSTIN THOMAS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4307
(206) 386-6000
Mailing address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
03/29/2023
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