Provider Demographics
NPI:1063438794
Name:VAN NOUHUYS, WHITNEY DALY (MFT)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:DALY
Last Name:VAN NOUHUYS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 SAN DIEGO RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2027
Mailing Address - Country:US
Mailing Address - Phone:510-525-8983
Mailing Address - Fax:510-525-8983
Practice Address - Street 1:813 SAN DIEGO RD
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2027
Practice Address - Country:US
Practice Address - Phone:510-525-8983
Practice Address - Fax:510-525-8983
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC16677106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist