Individual
DR. DEBRA JOAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
625 CHERRY ST, SUITE 5, SANTA ROSA, CA 95404-4202
(707) 573-8890
Mailing address
5226 MCFARLAND RD, SEBASTOPOL, CA 95472-5713
(707) 823-2510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 8422
CA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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