Individual
KEVIN R WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
214 RUSKIN DR E, MONTGOMERY, TX 77356-8411
(562) 519-8808
Mailing address
214 RUSKIN DR E, MONTGOMERY, TX 77356-8411
(562) 519-8808
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
140004493
CA
103TS0200X
School Psychologist
872656
TX
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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