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Individual

DR. JOSEPH DALE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6225 E HIGHWAY 290, AUSTIN, TX 78723-1025
(512) 949-2493
(512) 949-2527
Mailing address
PO BOX 15405, AUSTIN, TX 78761-5405
(512) 949-2493
(512) 949-2527

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
31783
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
31783
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165970801
TX
Enumeration date
10/02/2006
Last updated
02/03/2009
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