Individual
GINA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13837 LANYARD WAY, WINTER GARDEN, FL 34787-8643
(815) 988-1504
Mailing address
13837 LANYARD WAY, WINTER GARDEN, FL 34787-8643
(815) 988-1504
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1092984
FL
103TS0200X
School Psychologist
1944644
GA
103TS0200X
School Psychologist
567799
OR
103TS0200X
School Psychologist
606316H
WA
Other
Enumeration date
02/15/2024
Last updated
02/28/2024
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