White, Roy

White, Roy is an individual health care provider with primary practice located at 3 Clearview Cir , Moselle MS 39459-9520. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. White, Roy can be contacted via phone (601) 544-1499.

Contact Information

Primary practice address
3 Clearview Cir Moselle MS 39459-9520
Fax: (601) 544-8464
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 51 884 Mississippi

Profile Details

NPI number 1457393217
LBN Legal business name White, Roy
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 7th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457393217 NPPES
Kansas Other 201742 BLUE CROSS BLUE SHIELD

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