Individual
ROY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 CLEARVIEW CIR, MOSELLE, MS 39459-9520
(601) 544-1499
(601) 544-8464
Mailing address
3 CLEARVIEW CIR, MOSELLE, MS 39459-9520
(601) 544-1499
(601) 544-8464
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
51 884
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201742
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/12/2006
Last updated
10/07/2011
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