Individual
MR. GORDON VAL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
2101 EL CAMINO REAL, SUITE 203, OCEANSIDE, CA 92054
(760) 439-0911
(760) 439-0714
Mailing address
2101 EL CAMINO REAL, SUITE 203, OCEANSIDE, CA 92054
(760) 439-0911
(760) 439-0714
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY4394
CA
Other
Enumeration date
09/13/2006
Last updated
11/05/2012
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