Provider Demographics
NPI:1932231677
Name:WHITLOW, VALJEAN MCNEILL (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALJEAN
Middle Name:MCNEILL
Last Name:WHITLOW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:VALJEAN
Other - Middle Name:MCNEILL
Other - Last Name:GIBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 WRIGHTS MILL PL
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1912
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:770-772-6425
Practice Address - Street 1:11755 POINTE PL
Practice Address - Street 2:SUITE B
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4636
Practice Address - Country:US
Practice Address - Phone:770-521-8700
Practice Address - Fax:770-772-6425
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002851103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical