Individual
DR. DAN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2515 CAMINO DEL RIO S, SUITE 114, SAN DIEGO, CA 92108-3792
(619) 518-2051
(619) 518-2051
Mailing address
PO BOX 489, IMPERIAL BEACH, CA 91933-0489
(619) 518-2051
(619) 575-7500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13833
CA
103TC0700X
Clinical Psychologist
PSY13833
CA
103TF0200X
Forensic Psychologist
PSY13833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY138330
—
CA
Enumeration date
08/24/2005
Last updated
04/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us