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Organization

MOLLY WHITE, PH.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOLLY MARIE WHITE PH.D. (CLINICAL PSYCHOLOGIST)
(303) 588-8997
Entity
Organization

Contact information

Practice address
19751 E MAINSTREET, SUITE 255, PARKER, CO 80138-7378
(303) 588-8997
(720) 851-8379
Mailing address
19751 E MAINSTREET, SUITE 255, PARKER, CO 80138-7378
(303) 588-8997
(720) 851-8379

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3115
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508958752
INDIVIDUAL NPI NUMBER
Enumeration date
09/21/2007
Last updated
12/04/2009
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