Provider Demographics
NPI:1669101838
Name:WHITE, WHITNEY ELONA (SLP)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:ELONA
Last Name:WHITE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 W DETROIT BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-3706
Mailing Address - Country:US
Mailing Address - Phone:256-226-1866
Mailing Address - Fax:
Practice Address - Street 1:7830 PINE FOREST RD BLDG A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-8782
Practice Address - Country:US
Practice Address - Phone:850-741-6715
Practice Address - Fax:850-204-0489
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty