Most Relevant Information
Provider Data
| NPI Number: | 1003008004 |
| Provider Name: | MARTHA WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2007 |
| Last Updated: | 08/14/2007 |
Provider Practice Location
3306 W CATALINA DR
PHOENIX
AZ
850175291
Practice Location Phone/Fax
| Phone: | 6023530703 |
| Fax: | 6023530715 |
Provider Mailing Location
4220 N 20TH AVE
PHOENIX
AZ
850155101
Provider Mailing Phone/Fax
| Phone: | 6022797655 |
| Fax: | 6022415756 |