Whitaker, David L
Whitaker, David L is an individual health care provider with primary practice located at 26 Court St Ste 504 , Brooklyn NY 11242-1105. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Whitaker, David L can be contacted via phone (917) 626-4687.Contact Information
Primary practice address
26 Court St Ste 504
Brooklyn NY 11242-1105
Phone: (917) 626-4687
Fax: (718) 832-6843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 012082 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012082 | New York |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 012082 | New York |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 012082 | New York |
Profile Details
| NPI number | 1770691420 |
|---|---|
| LBN Legal business name | Whitaker, David L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770691420 | NPPES |
| New York | Other | 012082 | LICENSE |
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