Individual
DR. BEVERLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 E BALTIMORE PIKE, SUITE 300, MEDIA, PA 19063-5173
(610) 892-3800
(484) 468-1412
Mailing address
1055 E BALTIMORE PIKE, SUITE 300, MEDIA, PA 19063-5173
(610) 892-3800
(484) 468-1412
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016618
PA
1041C0700X
Clinical Social Worker
CW014716
PA
Other
Enumeration date
02/11/2009
Last updated
05/12/2014
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