Jerry L Whiteman, PHD.

NPI #1215996095 in Lake Charles, Louisiana

Provider Information

NPI Number: 1215996095
Entity Type: Individual
Name: Jerry L Whiteman, PHD.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD.
Enumeration Date: Mar 21, 2006
Last Updated: Dec 2, 2010

Practice Location

Address: 2829 4TH AVE
Address 2: 150
City: Lake Charles
State: Louisiana
ZIP Code: 70601-7887
Phone: (337) 477-7091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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