Healthcare Provider Details

I. General information

NPI: 1235287418
Provider Name (Legal Business Name): KAYT WHITEBIRD ORANGE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYT WHITEBIRD ORANGE PH.D.

II. Dates (important events)

Enumeration Date: 01/06/2007
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 US-98
PENSACOLA FL
32512-0001
US

IV. Provider business mailing address

2511 W MALLORY ST
PENSACOLA FL
32505-6025
US

V. Phone/Fax

Practice location:
  • Phone: 850-505-6891
  • Fax:
Mailing address:
  • Phone: 575-973-7417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1065
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: