Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | CA |
NPI | 1326523697 |
---|---|
Provider Name | Dr. Lynette A Whiting |
First Address | Palmdale, CA 93551-3037 |
Second Address | Palmdale, CA 93551-3037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2018 |
Last Update Date | 20/06/2019 |