Whitehead, Dan

Whitehead, Dan is an sole proprietor health care provider with primary practice located at 2515 Camino Del Rio S Suite 114, San Diego CA 92108-3792. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Whitehead, Dan can be contacted via phone (619) 518-2051.

Contact Information

Primary practice address
2515 Camino Del Rio S Suite 114 San Diego CA 92108-3792
Phone: (619) 518-2051
Fax: (619) 518-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY13833 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13833 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY13833 California

Profile Details

NPI number 1952394033
LBN Legal business name Whitehead, Dan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Apr 28th, 2009 - about 15 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 1952394033 NPPES
California MEDICAID PSY138330

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