Provider Demographics
NPI:1215699285
Name:DUMMIGAN WHITE, PATRICIA MAUREEN (MA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MAUREEN
Last Name:DUMMIGAN WHITE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BELL ROCK PLZ
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-9040
Mailing Address - Country:US
Mailing Address - Phone:928-301-3073
Mailing Address - Fax:
Practice Address - Street 1:90 BELL ROCK PLZ
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-9040
Practice Address - Country:US
Practice Address - Phone:928-301-3073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health