NPI 1215996095

Jerry L Whiteman, PHD

Practitioner Psychologist Lake Charles, LA

Practice location

Address: 2829 4th Ave 150, Lake Charles, LA 70601-7887
Phone: (337) 477-7091
Fax: (337) 474-4552

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 407 (LA)

Other Psychologist providers in Louisiana →

Registry record

NPI: 1215996095
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2006
Record last updated: 2 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.