Individual
DR. CARRIE L WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
001935-1
NY
174400000X
Specialist
14000018507
NY
231H00000X
Audiologist
Primary
001935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007528631
AETNA
NY
01
—
050564171
SCREEN ACTORS GUILD
NY
01
—
142140AI
PREFERRED CARE
NY
01
—
7102000NY14626
BC/BS OF MICHIGAN
NY
01
—
P00249342
RAILROAD MEDICARE PIN
NY
01
—
P010001935
EXCELLUS
NY
Enumeration date
05/17/2006
Last updated
03/06/2025
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