Provider Demographics
NPI:1326267733
Name:WHITNEY, JOSEPHINE P (MFT)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:P
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17662 IRVINE BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3132
Mailing Address - Country:US
Mailing Address - Phone:714-974-5946
Mailing Address - Fax:714-637-5486
Practice Address - Street 1:17662 IRVINE BLVD STE 7
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3132
Practice Address - Country:US
Practice Address - Phone:714-974-5946
Practice Address - Fax:714-637-5486
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist