Provider Demographics
NPI:1518144021
Name:MAYNOR, WHITNEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:MAYNOR
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 1:1 GRAMERCY PL
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1509
Mailing Address - Country:US
Mailing Address - Phone:914-843-8891
Mailing Address - Fax:718-918-7213
Practice Address - Street 1:1 GRAMERCY PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1509
Practice Address - Country:US
Practice Address - Phone:914-843-8891
Practice Address - Fax:718-918-7213
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013965103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical