Individual
DR. RICHARD K WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
510 MAIN ST, GORHAM, ME 04038-1339
(207) 839-6061
Mailing address
26 EDES RD, CUMBERLAND, ME 04021-4101
(207) 829-6912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00647
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216390000
—
ME
Enumeration date
01/13/2006
Last updated
12/28/2012
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