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Individual

DAVID L WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
26 COURT ST STE 504, BROOKLYN, NY 11242-1105
(917) 626-4687
(718) 832-6843
Mailing address
8701 SHORE RD APT 330, BROOKLYN, NY 11209-4234
(917) 626-4687
(718) 832-4683

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
012082
NY
103TC0700X
Clinical Psychologist
012082
NY
103TF0000X
Family Psychologist
Primary
012082
NY
103TP2701X
Group Psychotherapy Psychologist
012082
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012082
LICENSE
NY
Enumeration date
08/25/2006
Last updated
09/11/2025
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