Provider Demographics
NPI:1417077314
Name:APPLEWHITE, LARRY WAYNE (PHD LCSW)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:WAYNE
Last Name:APPLEWHITE
Suffix:
Gender:M
Credentials:PHD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36000 DARNALL LOOP
Mailing Address - Street 2:CARL R DARNALL ARMY MEDICAL CENTER
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-553-2284
Mailing Address - Fax:254-553-2292
Practice Address - Street 1:36000 DARNALL COOP
Practice Address - Street 2:DEPARTMENT OF SOCIAL WORK RESILIENCE & RESTORATION CENT
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-553-2284
Practice Address - Fax:254-553-2292
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX168061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical