Provider Demographics
NPI:1477853687
Name:WHITE, JOSHUA CHRISTOPHER (PSYD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CHRISTOPHER
Last Name:WHITE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 ARAGON WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5009
Mailing Address - Country:US
Mailing Address - Phone:530-410-3354
Mailing Address - Fax:
Practice Address - Street 1:1190 LINCOLN AVE STE 6
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3036
Practice Address - Country:US
Practice Address - Phone:408-256-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
CAPSY27905103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist