Jacob Vaughn White, PH.D.

NPI #1548735079 in Traverse City, Michigan

Provider Information

NPI Number: 1548735079
Entity Type: Individual
Name: Jacob Vaughn White, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Oct 11, 2018
Last Updated: Nov 5, 2019

Practice Location

Address: 3537 W. FRONT STREET
Address 2: SUITE F
City: Traverse City
State: Michigan
ZIP Code: 49684
Phone: (231) 935-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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