Provider Demographics
NPI:1467037978
Name:WHYTE, NORMAN ALEXANDER
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:ALEXANDER
Last Name:WHYTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15045 N SPUR DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-2044
Mailing Address - Country:US
Mailing Address - Phone:786-266-4336
Mailing Address - Fax:
Practice Address - Street 1:115 NW 167TH ST FL 1
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-6054
Practice Address - Country:US
Practice Address - Phone:786-266-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral