Healthcare Provider Details

I. General information

NPI: 1235285313
Provider Name (Legal Business Name): WILLIAM F DOVERSPIKE PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111 C PEACHTREE DUNWOODY ROAD
ATLANTA GA
30328-4522
US

IV. Provider business mailing address

6111 C PEACHTREE DUNWOODY ROAD
ATLANTA GA
30328-4522
US

V. Phone/Fax

Practice location:
  • Phone: 770-913-0506
  • Fax: 770-399-0007
Mailing address:
  • Phone: 770-913-0506
  • Fax: 770-399-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number647
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number647
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: