MEDICARE: DR. EDWARD JOSEPH WHYTE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY 002690	FL

General Provider Information

NPI Number	:	1184874216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD JOSEPH WHYTE PH.D.

Provider Business Mailing Address
First Line	:	7401 SPRING CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-2949
Country	:	US
Telephone Number	:	813-885-1269
Fax Number	:	813-882-9269

Provider Business Practice Location Address
First Line	:	7401 SPRING CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-2949
Country	:	US
Telephone Number	:	813-885-1269
Fax Number	:	813-882-9269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	09/25/2008

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