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Thea A White

  • Female

Medical Specialty

Professional ID

  • NPI: 1245770247
  • PECOS ID: 7911270038
  • Enrollment ID: I20170912000112
  • Credential(MD, DO, DPM):
  • Medical School: Wayne State University School Of Medicine
  • Medical School Graduation Year: 1986

Medical Practices

  • Organization Name: Prestige Behavioral Therapy Development Center Llc
  • Group Practice ID assigned by PECOS: 3072755214
  • Number of Group Practice member: 2

Location

  • Address1: 7177 Miller Dr
  • Address2: Suite C
  • City: Warren
  • State: Michigan
  • Zip Code: 48092
  • Phone Number: (586)275-2433

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):