MEDICARE: DR. FRANCIS P. WHITE 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	103TC0700X	Clinical Psychologist	1341	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6182580	OTHER	OH	UNITED HEALTHCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3407503411J85	OTHER	OH	ANTHEM
4	70469	OTHER	OH	QUALCHOICE

General Provider Information

NPI Number	:	1750581021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS P. WHITE PH.D.

Provider Business Mailing Address
First Line	:	3626 RAWNSDALE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5131
Country	:	US
Telephone Number	:	216-561-9418
Fax Number	:

Provider Business Practice Location Address
First Line	:	3626 RAWNSDALE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5131
Country	:	US
Telephone Number	:	216-561-9418
Fax Number	:

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

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	09/20/2010

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