White, Joseph Dale

White, Joseph Dale is an sole proprietor health care provider with primary practice located at 6225 E Highway 290 , Austin TX 78723-1025. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. White, Joseph Dale can be contacted via phone (512) 949-2493.

Contact Information

Primary practice address
6225 E Highway 290 Austin TX 78723-1025
Phone: (512) 949-2493
Fax: (512) 949-2527
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31783 Texas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 31783 Texas

Profile Details

NPI number 1922191634
LBN Legal business name White, Joseph Dale
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Feb 3rd, 2009 - about 17 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 1922191634 NPPES
Texas MEDICAID 165970801

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