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Contact Information

KEITH B WHITE, PHD
1701 W. CURTIS ROAD
PSYCHOLOGY
CHAMPAIGN, IL61822
 Phone: 217-365-6206
 Fax: 217-326-4003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KEITH B WHITE · (Male)

NPI # 1427151646
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/06/2006
Last updated 06/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 071006213
Hospital affiliation(s)
  • CARLE FOUNDATION HOSPITAL - (Acute Care)
    611 WEST PARK STREET
    URBANA, IL 61801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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