Individual
DALE D WHITMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
358 BROKEN PAR DR, LAS VEGAS, NV 89148-5211
(702) 672-6050
Mailing address
358 BROKEN PAR DR, LAS VEGAS, NV 89148-5211
(702) 672-6050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP784
NV
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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