Healthcare Provider Details

I. General information

NPI: 1205991411
Provider Name (Legal Business Name): WILLIAM H SINGER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 152ND AVE NE
REDMOND WA
98052-5519
US

IV. Provider business mailing address

2227 152ND AVE NE
REDMOND WA
98052-5519
US

V. Phone/Fax

Practice location:
  • Phone: 425-644-1234
  • Fax: 425-865-0224
Mailing address:
  • Phone: 425-644-1234
  • Fax: 425-865-0224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00003563
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: