White, Michelle Nicole

White, Michelle Nicole is an sole proprietor health care provider with primary practice located at 888 N San Mateo Dr Apt A310 , San Mateo CA 94401-2599. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. White, Michelle Nicole can be contacted via phone (773) 559-9551.

Contact Information

Primary practice address
888 N San Mateo Dr Apt A310 San Mateo CA 94401-2599
Phone: (773) 559-9551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY33651 California

Profile Details

NPI number 1881020154
LBN Legal business name White, Michelle Nicole
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2013
Last updated Sep 25th, 2024 - about 2 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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