Provider Demographics
NPI:1467710384
Name:WHITLOW, NATALIE MICHELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:MICHELE
Last Name:WHITLOW
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 1:1435 MARKET AVE N
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2609
Mailing Address - Country:US
Mailing Address - Phone:573-424-5060
Mailing Address - Fax:
Practice Address - Street 1:1435 MARKET AVE N
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-2609
Practice Address - Country:US
Practice Address - Phone:573-424-5060
Practice Address - Fax:216-671-7543
Is Sole Proprietor?:No
Enumeration Date:2012-04-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6899103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling