Jason K. White, Ph.d., Llc | |
807 S. Pine St. Stillwater OK 74074 | |
(405) 614-2846 | |
(405) 533-2888 |
Full Name | Jason K. White, Ph.d., Llc |
---|---|
Speciality | Psychologist |
Location | 807 S. Pine St., Stillwater, Oklahoma |
Authorized Official Name and Position | Jason Kent White (PSYCHOLOGIST) |
Authorized Official Contact | 4056142846 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jason K. White, Ph.d., Llc 807 S. Pine St. Stillwater OK 74074 Ph: (405) 614-2846 | Jason K. White, Ph.d., Llc 807 S. Pine St. Stillwater OK 74074 Ph: (405) 614-2846 |
NPI Number | 1366090680 |
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Provider Enumeration Date | 08/29/2019 |
Last Update Date | 08/29/2019 |
Medicare PECOS PAC ID | 6305271305 |
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Medicare Enrollment ID | O20200122000911 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366090680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Provider Name | Jason K White |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144240383 PECOS PAC ID: 1153499629 Enrollment ID: I20191203001347 |
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