White, Judith A
White, Judith A is an sole proprietor health care provider with primary practice located at 1011 W Maple St , Kalamazoo MI 49008. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. White, Judith A can be contacted via phone (269) 353-7607.Contact Information
Primary practice address
1011 W Maple St
Kalamazoo MI 49008
Phone: (269) 353-7607
Fax: (269) 888-2260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6401005003 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301008661 | Michigan |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301008661 | Michigan |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401005003 | Michigan |
Profile Details
| NPI number | 1295806339 |
|---|---|
| LBN Legal business name | White, Judith A |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2006 |
| Last updated | May 23rd, 2018 - about 8 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 | 1295806339 | NPPES |
| Michigan | Other | 2029602 | CIGNA BEHAVIORAL HEALTH |
| Michigan | Other | 0895250 | CIGNA BEHAVIORAL HEALTH |
| Michigan | Other | 0C91775 | CIGNA BEHAVIORAL HEALTH |
| Michigan | Other | 127-089 | CIGNA BEHAVIORAL HEALTH |
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