Provider Demographics
NPI:1053691600
Name:WHITE, ORA DEMPSEY (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:ORA
Middle Name:DEMPSEY
Last Name:WHITE
Suffix:
Gender:M
Credentials:PHD, LP
Other - Prefix:DR
Other - First Name:DEMPSEY
Other - Middle Name:D
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LP
Mailing Address - Street 1:2635 WHITEHURST DR NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2659
Mailing Address - Country:US
Mailing Address - Phone:404-432-1177
Mailing Address - Fax:
Practice Address - Street 1:735 MCMILLAN ROAD
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29634-0091
Practice Address - Country:US
Practice Address - Phone:864-656-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1555103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling