Jason K. White, Ph.D., LLC
Psychologist, Counseling in Stillwater, OK. Organization (NPI-2).
NPI number1366090680
StatusActive
Last updated in NPPESAug 29, 2019
Details
- NPI
- 1366090680
- Entity type
- Organization (NPI-2)
- Legal business name
- Jason K. White, Ph.D., LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2019
- Last updated
- Aug 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | – | Yes |
Practice location
807 S. Pine St.Stillwater, OK 74074
Phone 405-614-2846 · Fax 405-533-2888
Mailing address
807 S. Pine St.Stillwater, OK 74074
Phone 405-614-2846 · Fax 405-533-2888
Authorized official
Jason Kent White
Psychologist
4056142846
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