Individual
THOMAS WHITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004558L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076612000
IBC
PA
Enumeration date
11/13/2006
Last updated
05/09/2008
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