Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3737 | NC |
N | 103T00000X | Psychologist | 3737 | NC |
Y | 103TH0100X | Health Service | 3830 | NC |
NPI | 1275766966 |
---|---|
Provider Name | Rebekah S White |
First Address | Tinker Afb, OK 73145-8716 |
Second Address | Tinker Afb, OK 73145-8716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2009 |
Last Update Date | 07/05/2018 |