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General NPI Number Information
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NPI Number | 1801719901
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Entity Type | Organization
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Legal Business Name | WILLIAM SACKLEY PSYCHOLOGIST
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 4910 SAMMELMAN RD
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City | WELDON SPRING
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State | MO
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Zip | 63304-7504
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Country | US
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Telephone | 847-217-7669
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Fax |
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Provider Business Mailing Address
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Address Line | 4910 SAMMELMAN RD
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City | WELDON SPRING
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State | MO
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Zip | 63304-7504
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Country | US
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Telephone | 847-217-7669
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. WILLIAM SACKLEY
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Credential |
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Telephone | 847-217-7669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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