Provider Demographics
NPI:1538508742
Name:WHITE, JANICE STEVENS
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:STEVENS
Last Name:WHITE
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 1:2827 SPRING GARDEN ST STE C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-4456
Mailing Address - Country:US
Mailing Address - Phone:336-854-5429
Mailing Address - Fax:336-854-4245
Practice Address - Street 1:2827 SPRING GARDEN ST STE C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-4456
Practice Address - Country:US
Practice Address - Phone:336-854-5429
Practice Address - Fax:336-854-4245
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist