Individual
NICOLE ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPSP
Contact information
Practice address
551 S AVENUE H, BARSTOW, CA 92311-2500
(760) 255-6031
Mailing address
551 S AVENUE H, BARSTOW, CA 92311-2500
(760) 255-6031
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240224997
CA
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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