Provider Demographics
NPI:1770910754
Name:WHITE-JENNINGS, DENISE (PHD, NCSP)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:WHITE-JENNINGS
Suffix:
Gender:F
Credentials:PHD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 30TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3702
Mailing Address - Country:US
Mailing Address - Phone:020-729-3250
Mailing Address - Fax:202-645-3911
Practice Address - Street 1:1650 30TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3702
Practice Address - Country:US
Practice Address - Phone:202-729-3250
Practice Address - Fax:202-645-3911
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC15910OtherNATIONAL ASSOCIATION OF SCHOOL PSYCHOLOGISTS