Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 6477 | NY |
Y | 103TC0700X | Clinical Psychologist | 6477 | NY |
NPI | 1003020926 |
---|---|
Provider Name | Dr. George Thomas Whitson |
First Address | Rockville Centre, NY 11570-5531 |
Second Address | Rockville Centre, NY 11570-5531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |