Susan Deborah White in Silver Spring - Mental Health

Susan Deborah White - NPI 1689626640

Susan Deborah White is a Mental Health in Silver Spring, Maryland. Susan Deborah White practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Susan Deborah White is 1689626640. The last update date is 2007-07-08.

Susan Deborah White's current location address is 12900 Tourmaline Ter, Silver Spring, Maryland. You can contact this provider via phone number 3013848876 and fax number 3012498776. The mailing address for Susan Deborah White is 12900 Tourmaline Ter, Silver Spring, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Deborah White
Address 12900 Tourmaline Ter, Silver Spring, Maryland
Phone Number 3013848876
Fax Number 3012498776
Sole Proprietor Y
Credentials LCPC

NPI Number Detail

NPI Number 1689626640
Provider Enumeration Date 2006-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12900 Tourmaline Ter
City Silver Spring
State Maryland (MD)
Post Code 209045349
Phone Number 3013848876
Fax Number 3012498776

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LC0769
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
562760 MD MAMSI/UNITED HEALTHCARE
2178897 MD CIGNA EAP
2178897 MD CIGNA BH
514031 MD VALUEOPTIONS
GQ40CO MD BC/BS CAREFIRST MD
61672002 MD CAREFIRST MD RENDERING
M3280003 MD BC/BS CAREFIRST NATL CAP

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FAQs about Susan Deborah White

What is the Susan Deborah White's unique identification number?

The Susan Deborah White has been assigned the NPI (National Provider Identifier) Number 1689626640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Susan Deborah White located?

The Susan Deborah White is located at 12900 Tourmaline Ter, Silver Spring, MD 209045349.

What is the Susan Deborah White's specialty and taxonomy code?

The Susan Deborah White's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.

On what date did the Susan Deborah White receive the assignment of its 1689626640 from the Centers for Medicare & Medicaid Services?

The Susan Deborah White was issued its 1689626640 by the Centers for Medicare & Medicaid Services on 2006-05-17.

As of what date was the information regarding Susan Deborah White, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Susan Deborah White, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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