Organization
JACOB WHITE PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB WHITE PH.D. (SOLE MEMBER)
(231) 935-8900
Entity
Organization
Contact information
Practice address
3537 W. FRONT STREET, SUITE F, TRAVERSE CITY, MI 49684
(231) 935-8900
(231) 935-8901
Mailing address
3537 W. FRONT STREET, SUITE F, TRAVERSE CITY, MI 49684
(231) 935-8900
(231) 935-8901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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