Individual
DR. MICHELLE SARAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4801 W PETERSON AVE, SUITE 303, CHICAGO, IL 60646-5713
(773) 282-2322
(773) 282-2853
Mailing address
4801 W PETERSON AVE, SUITE 303, CHICAGO, IL 60646-5713
(773) 315-1715
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007672
IL
Other
Enumeration date
06/14/2009
Last updated
06/14/2009
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