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Individual

MATTHEW MARSHALL WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1560 E CHEVY CHASE DR STE 130, GLENDALE, CA 91206-4140
(818) 240-0340
Mailing address
1560 E CHEVY CHASE DR, STE 130, GLENDALE, CA 91206-4140
(818) 429-5882
(818) 429-5882

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011285
CA

Other

Enumeration date
08/07/2019
Last updated
04/11/2023
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