Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PT30000 | CA |
N | 103TH0100X | Health Service | PT30000 | CA |
NPI | 1043845662 |
---|---|
Provider Name | Lovie Whitt |
First Address | Yuba City, CA 95991-6900 |
Second Address | Grass Valley, CA 95945-5723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2020 |
Last Update Date | 05/03/2020 |