Provider Demographics
NPI:1043444599
Name:WHITE, EVELYN ELINOR (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:ELINOR
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 N HIGH ST
Mailing Address - Street 2:SUITE #302
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3611
Mailing Address - Country:US
Mailing Address - Phone:614-268-1111
Mailing Address - Fax:614-268-1634
Practice Address - Street 1:3620 N HIGH ST
Practice Address - Street 2:SUITE #302
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3611
Practice Address - Country:US
Practice Address - Phone:614-268-1111
Practice Address - Fax:614-268-1634
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE158101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health