Most Relevant Information
Provider Data
| NPI Number: | 1003252842 |
| Provider Name: | KRISTI E. WHITE PH.D., LP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | LP5849 |
Most Important Dates
| Enumeration Date: | 05/20/2013 |
| Last Updated: | 11/09/2015 |
Provider Practice Location
2700 E LAKE ST
MINNEAPOLIS
MN
554061963
Practice Location Phone/Fax
| Phone: | 6128736963 |
| Fax: | 6122760188 |
Provider Mailing Location
2700 E LAKE ST
MINNEAPOLIS
MN
554061963
Provider Mailing Phone/Fax
| Phone: | 6128736963 |
| Fax: |