Provider Demographics
NPI:1336569599
Name:MCFADDEN, WHITNEY CARROLL (MD)
Entity Type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:CARROLL
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 PINE AVE APT 506
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-1379
Mailing Address - Country:US
Mailing Address - Phone:301-651-0866
Mailing Address - Fax:
Practice Address - Street 1:635 PINE AVE APT 506
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-1379
Practice Address - Country:US
Practice Address - Phone:301-651-0866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2820502084P0800X
NY281353-12084P0800X
CA1764282084P0800X
PA4773892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry