Jacob White Ph.d., Pllc
NPI #1881178325 in Traverse City, Michigan
Provider Information
- NPI Number
- 1881178325
- Entity Type
- Organization
- Organization Name
- Jacob White Ph.d., Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Sep 20, 2018
- Last Updated
- Sep 20, 2018
Practice Location
- Address
- 3537 W. FRONT STREET
- Address 2
- SUITE F
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684
- Phone
- (231) 935-8900
Authorized Official
- Name
- DR. JACOB WHITE, PH.D.
- Title
- SOLE MEMBER
- Phone
- (231) 935-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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