Individual
DR. G ZACHARIAH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2375 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1632
(612) 208-9739
(612) 643-3479
Mailing address
2375 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1632
(612) 208-9739
(612) 643-3479
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP5211
MN
103TC0700X
Clinical Psychologist
Primary
LP5211
MN
Other
Enumeration date
11/11/2009
Last updated
12/09/2023
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