Active NPI
Laura Dahmer-White, PHD
- Clinical Neuropsychologist
- Tumwater, WA
National Provider Identifier
1831297233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1872
- Practice address
- 2620 RW Johnson Rd. SW
Suite 204
Tumwater, WA 98516-6133 - Phone
- (360) 709-0601
- Fax
- (360) 528-2080
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1872 | WA | Primary |
| Clinical Psychologist | 103TC0700X | 1872 | WA |
Addresses
Primary practice location
2620 RW Johnson Rd. SW
Suite 204
Tumwater, WA 98516-6133
Mailing address
2620 RW Johnson Rd. SW
Suite 204
Tumwater, WA 98512-6133
Phone (360) 709-0601
Other names 1
- Laura Kay White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1872 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychological Services of the South Sound LLC | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Tumwater, WA
- NPI 1669850681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1831297233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 RW JOHNSON RD. SW",
"address_2": "SUITE 204",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126133",
"telephone_number": "360-709-0601",
"fax_number": "360-528-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 RW JOHNSON RD. SW",
"address_2": "SUITE 204",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985166133",
"telephone_number": "360-709-0601",
"fax_number": "360-528-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHMER-WHITE",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "1872",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "1872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "WHITE",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.