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Provider Information for 1912646308


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HAROLD SCOTT WHITTLE LMFT


Sex: Male

NPI: 1912646308
Last Updated: 2023-07-05
Certification Date: 2023-07-05

Details

NameValue
NPI1912646308
Enumeration Date2022-06-02
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 278 MIKE DR
ELKTON, MD 21921-4959
United States

Phone: 270-779-8622 | Fax:
 
Primary Practice Address 278 MIKE DR
ELKTON, MD 21921-4959
United States

Phone: 270-779-8622 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthKY277781
Yes 106H00000X - Marriage & Family Therapist DEFT-0010116