Healthcare Provider Details

I. General information

NPI: 1891122636
Provider Name (Legal Business Name): WILLIAM THOMAS BARKER PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2013
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 WEST ADMIRAL TAUSSIG BLVD., STE IG03
NORFOLK VA
23511-2802
US

IV. Provider business mailing address

620 JOHN PAUL JONES CIR
PORTSMOUTH VA
23708-2111
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-8790
  • Fax:
Mailing address:
  • Phone: 757-953-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071008688
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: