Provider Demographics
NPI:1720755507
Name:CONLEY, WHITNEY (EDS)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:
Last Name:CONLEY
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 SHAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3958
Mailing Address - Country:US
Mailing Address - Phone:609-290-9309
Mailing Address - Fax:
Practice Address - Street 1:42 SHAWNEE TRL
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-3958
Practice Address - Country:US
Practice Address - Phone:609-290-9309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool