Individual
DR. JOHN P, WHELTON JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD,MP
Contact information
Practice address
1237 BUFFALO HOLLOW CT, ZACHARY, LA 70791-7313
(225) 654-5060
Mailing address
1237 BUFFALO HOLLOW CT, ZACHARY, LA 70791-7313
(225) 654-5060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
300MP
LA
103TP0016X
Prescribing (Medical) Psychologist
300MP
LA
Other
Enumeration date
01/10/2007
Last updated
07/10/2007
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