Healthcare Provider Details

I. General information

NPI: 1336687649
Provider Name (Legal Business Name): WILLIAM BARRON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 OAK ALLEY CT STE 200
TOLEDO OH
43606-1370
US

IV. Provider business mailing address

3454 OAK ALLEY CT STE 200
TOLEDO OH
43606-1370
US

V. Phone/Fax

Practice location:
  • Phone: 419-349-8321
  • Fax:
Mailing address:
  • Phone: 419-349-8321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7546
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7546
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: