National Provider Identifier
Gwendolyn Theresa Jervis-White, M.S.
Gwendolyn Theresa Jervis-White, M.S. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 859-2118.
Profile Overview
- NPI
- 1285831297
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 02, 2007
- Last Updated
- July 08, 2007
Practice Location
- 80 Goodrich St
- Buffalo, NY 14203-1005
Phone: (716) 859-2118
Mailing Address
- 347 Florida St
- Buffalo, NY 14208-1330
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1285831297
- Entity Type
- Individual
- Last Name
- Jervis-White
- First Name
- Gwendolyn
- Middle Name
- Theresa
- Credential
- M.S.
- Mailing Street Address
- 347 Florida St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1330
- Mailing Country
- US
- Mailing Phone
- (716) 886-1125
- Practice Street Address
- 80 Goodrich St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1005
- Practice Country
- US
- Practice Phone
- (716) 859-2118
- Practice Fax
- (716) 859-1505
- Enumeration Date
- July 02, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)