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Individual

DR. DEBORAH D WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1550 AMERICAN BLVD E STE 550, BLOOMINGTON, MN 55425-3100
(612) 504-2031
(612) 268-5868
Mailing address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
(612) 268-5858

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3937
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42P38WH
BLUE CROSS OF MN CLINIC #
MN
05
702723100
MN
Enumeration date
04/17/2007
Last updated
05/07/2025
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