Individual
DR. MICHAEL EDWARD WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1028 MAIN ST, SHELBYVILLE, KY 40065-1315
(502) 647-2477
(502) 371-0890
Mailing address
1028 MAIN ST, SHELBYVILLE, KY 40065-1315
(502) 647-2477
(502) 371-0890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
129372
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100283810
—
KY
Enumeration date
07/26/2010
Last updated
01/03/2017
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