Provider Demographics
NPI:1326547720
Name:STEWART, WHITNEY A (PHD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:A
Last Name:STEWART
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 1:5924 ROYAL LANE, STE 258
Mailing Address - Street 2:PRESTON HOLLOW HEALTH & WELLNESS
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:972-885-7824
Mailing Address - Fax:972-474-9083
Practice Address - Street 1:5924 ROYAL LANE, STE 258
Practice Address - Street 2:PRESTON HOLLOW HEALTH & WELLNESS
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-885-7824
Practice Address - Fax:972-474-9083
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling