Whitehead, Michael Robert

Whitehead, Michael Robert is an individual health care provider with primary practice located at 213 3Rd Ave E , Twin Falls ID 83301. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Whitehead, Michael Robert can be contacted via phone (509) 392-1874.

Contact Information

Primary practice address
213 3Rd Ave E Twin Falls ID 83301
Phone: (509) 392-1874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 8324338-3902 Utah
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006429 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60462315 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-7120 Idaho

Profile Details

NPI number 1144588708
LBN Legal business name Whitehead, Michael Robert
Credentials PH.D., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Aug 26th, 2019 - about 5 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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