Organization
D L WHITE PSYCHOLOGICAL SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD LAWRENCE WHITE PH.D. (CLINICAL PSYCHOLOGIST)
(773) 502-5950
Entity
Organization
Contact information
Practice address
3405 S MICHIGAN AVE, CHICAGO, IL 60616-3819
(312) 791-0035
(312) 791-0626
Mailing address
330 W DIVERSEY PKWY APT 1803, CHICAGO, IL 60657
(773) 296-1827
(773) 529-1253
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
01/23/2008
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