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Contact Information

JENNIFER D WHITE, PhD
119 JEFFERSON ST
GARRETT, PA15542
 Phone: 423-653-5342
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER D WHITE · (Female)

NPI Number 1013931583
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/27/2006
Last updated 10/21/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY001915
  • PA License # PS017029
  • TN License # P0000001892
  • PA Medicaid 3685708
Hospital affiliation(s) Not Available
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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