Provider Demographics
NPI:1316229222
Name:MOLITOR, WHITNEY (MA)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:MOLITOR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 30TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-4284
Mailing Address - Country:US
Mailing Address - Phone:619-752-4194
Mailing Address - Fax:
Practice Address - Street 1:8588 ECHO DR
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-6668
Practice Address - Country:US
Practice Address - Phone:612-741-3689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist