DR. BLAKE WHITE JR., PH.D.
Psychologist - Prescribing (Medical)
Active
Individual
NPI: 1255465886
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | No | 213 (NM) |
| Psychologist - Prescribing (Medical) | 103TP0016X | Yes | 0033 (NM) |
Frequently Asked Questions
NPI 1255465886 is the National Provider Identifier for DR. BLAKE WHITE JR., PH.D., a Psychologist - Prescribing (Medical) provider located in Albuquerque, NM. This NPI was enumerated on March 15, 2007.
DR. BLAKE WHITE JR., PH.D. practices at 5623 BOSQUE VISTA DR NE, Albuquerque, NM 87111.
Quick Facts
- NPI
- 1255465886
- Type
- Individual
- Enumerated
- Mar 15, 2007
- Last Updated
- Mar 31, 2014
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