Provider Demographics
NPI:1417462607
Name:WHITMARSH, CLAUDIA MICHELLE
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:MICHELLE
Last Name:WHITMARSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 PATRONIS DR APT 1701
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32408-5754
Mailing Address - Country:US
Mailing Address - Phone:352-220-1690
Mailing Address - Fax:
Practice Address - Street 1:7120 PATRONIS DR APT 1701
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32408-5754
Practice Address - Country:US
Practice Address - Phone:352-220-1690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-10
Last Update Date:2017-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst