Provider Demographics
NPI:1750403176
Name:WHITE, RICHARD A (MA)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:WHITE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W NEAL CT
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-7851
Mailing Address - Country:US
Mailing Address - Phone:785-823-6023
Mailing Address - Fax:785-309-5101
Practice Address - Street 1:409 W CLOUD ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5614
Practice Address - Country:US
Practice Address - Phone:785-309-5144
Practice Address - Fax:785-309-5101
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist