Provider Demographics
NPI:1619039195
Name:DR. THELMA D. WHITE, INC.
Entity Type:Organization
Organization Name:DR. THELMA D. WHITE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-888-7211
Mailing Address - Street 1:6649 N HIGH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4070
Mailing Address - Country:US
Mailing Address - Phone:614-888-7211
Mailing Address - Fax:614-888-3246
Practice Address - Street 1:6649 N HIGH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4070
Practice Address - Country:US
Practice Address - Phone:614-888-7211
Practice Address - Fax:614-888-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1065103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty