Healthcare Provider Details

I. General information

NPI: 1548310246
Provider Name (Legal Business Name): WILLIAM F DOVERSPIKE PHD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111 PEACHTREE DUNWOODY ROAD C
ATLANTA GA
30328-4522
US

IV. Provider business mailing address

6111 PEACHTREE DUNWOODY ROAD C
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 TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number647
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number647
License Number StateGA

VIII. Authorized Official

Name: DR. WILLIAM F DOVERSPIKE
Title or Position: PRESIDENT
Credential: PHD
Phone: 770-913-0506