Provider Demographics
NPI:1467906909
Name:APPERWHITE, JEANETTE
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:
Last Name:APPERWHITE
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 1:42 JOHNSTON RD
Mailing Address - Street 2:#3
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-2720
Mailing Address - Country:US
Mailing Address - Phone:617-833-8491
Mailing Address - Fax:
Practice Address - Street 1:42 JOHNSTON RD
Practice Address - Street 2:#3
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-2720
Practice Address - Country:US
Practice Address - Phone:617-833-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-13
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health