DR. JERRY L. WHITE


Address: 409 Coleman Blvd, Suite 1a, Mt Pleasant, SC 29464-4391
Phone: 8434420498

DR. JERRY L. WHITE (NPI# 1912031964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912031964
Entity Type Individual
Full Name DR. JERRY L. WHITE
Credential PH. D.
Practice Address 409 Coleman Blvd
Suite 1a
Mt Pleasant
SC 29464-4391
Practice Telephone 8434420498
Practice Fax Number 8438817617
Mailing Telephone 8434420498
Mailing Fax Number 8438817617
Enumeration Date 2007-03-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
SC 179 SC Behavioral Health & Social Service Providers

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Office Location

Street Address 409 COLEMAN BLVD
SUITE 1A
City MT PLEASANT
State SC
Zip Code 29464-4391

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780749861 John Travis Pritchett Psychiatry & Neurology 409 Coleman Blvd, Suite 1-a, Mt Pleasant, SC 29464-4391 2006-12-27
1295036200 Marilyn D. Ackerman Social Worker 409 Coleman Blvd, Ste 2 B, Mt Pleasant, SC 29464-4391 2010-11-07
1518287523 Piave Pitisci Lake, M.d., LLC Psychiatry & Neurology 409 Coleman Blvd, Mt Pleasant, SC 29464-4391 2010-06-02
1316075203 Piave Pitisci Lake Psychiatry & Neurology 409 Coleman Blvd, Mt Pleasant, SC 29464-4391 2007-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811548241 Bradley Paul Anuszkiewicz Chiropractor 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 2019-09-26
1447808696 Laura Mariah Crouse Speech-Language Pathologist Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 2019-08-30
1912461807 Independent Optical Optometrist 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 2019-01-25
1417446204 Michael Adam Sugarman Clinical Neuropsychologist 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 2018-05-07
1578064192 Ancillary Specialists LLC Durable Medical Equipment & Medical Supplies 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 2018-02-28
1346769015 Christin Solomon Zerega Counselor Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 2017-09-14
1336660315 Charleston Neuropsychology LLC Psychologist 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 2017-06-29
1790219970 Adam Hudepohl Family Medicine 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 2017-04-14
1386181204 Alicia Taylor Speech-Language Pathologist 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 2017-01-30
1285181941 Tara Lynn Mast Physical Therapist 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 2016-09-09
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013407493 Cassidy Clifford Arnold Psychologist 1459 Stuart Engals Blvd Ste 204-a, Mt Pleasant, SC 29464-3600 2018-05-11
1811269178 Jeff Marcino Psychologist 474 Wando Park Blvd Ste 104, Mt Pleasant, SC 29464-7933 2012-02-02
1558593707 Jeremy Adam Moeggenberg Psychologist 400 S University Ave, Mt Pleasant, MI 48858-3170 2009-08-20
1194904029 Carolyn Van Cleave, Ed.d. PC Psychologist 901 Canal St, Mt Pleasant, MI 48858-3304 2007-10-27
1497944763 Steven Adam Lifson Psychologist 304 W Michigan St, Suite 16, Mt Pleasant, MI 48858-2492 2007-10-23
1306049911 Gabriela Eyal Psychologist 117 S University Ave, Mt Pleasant, MI 48858-2320 2007-06-09
1033246129 Peter J Haddad Psychologist 1905 Evans St, Mt Pleasant, MI 48858-4459 2007-02-27
1508991613 William Harris Porter Psychologist 307 W Monroe St, Mt Pleasant, IA 52641-2112 2007-02-22
1437210481 Amy L Rhodes Psychologist 250 Mathis Ferry Rd Ste 101, Mt Pleasant, SC 29464-2988 2006-12-13
1437227279 Valerie L Stephens PC Psychologist 110 N Kinney Avenue, Mt Pleasant, MI 48858 2006-12-01
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Competitor

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City MT PLEASANT
Zip Code 29464

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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