Individual provider · Type 1 NPI
Fantah D. Whitt
Student in an Organized Health Care Education/Training Program · Buffalo, NY
NPI number
1235075367
Active
Practice location
139 Wende St
Buffalo, NY 14211-1728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1235075367
Fantah D. Whitt's National Provider Identifier is 1235075367, issued on Apr 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Apr 29, 2026.