White, Byron A.

White, Byron A. is an individual health care provider with primary practice located at 7511 New Lagrange Rd , Louisville KY 40222-4859. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. White, Byron A. can be contacted via phone (502) 423-1151.

Contact Information

Primary practice address
7511 New Lagrange Rd Louisville KY 40222-4859
Phone: (502) 423-1151
Fax: (502) 423-1748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1115 Kentucky

Profile Details

NPI number 1790777357
LBN Legal business name White, Byron A.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790777357 NPPES
Kentucky MEDICAID 89011159

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